0001209191-23-039216.txt : 20230622 0001209191-23-039216.hdr.sgml : 20230622 20230622203328 ACCESSION NUMBER: 0001209191-23-039216 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230620 FILED AS OF DATE: 20230622 DATE AS OF CHANGE: 20230622 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zarmi Sigal CENTRAL INDEX KEY: 0001854208 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41121 FILM NUMBER: 231034709 MAIL ADDRESS: STREET 1: 1501 YAMATO ROAD CITY: BOCA RATON STATE: FL ZIP: 33431 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HashiCorp, Inc. CENTRAL INDEX KEY: 0001720671 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] IRS NUMBER: 320410665 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 101 2ND STREET, SUITE 700 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 415-301-3227 MAIL ADDRESS: STREET 1: 101 2ND STREET, SUITE 700 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-06-20 0 0001720671 HashiCorp, Inc. HCP 0001854208 Zarmi Sigal C/O HASHICORP, INC. 101 SECOND STREET, SUITE 700 SAN FRANCISCO CA 94105 1 0 0 0 0 Class A Common Stock 2023-06-20 4 M 0 430 A 26506 D Class A Common Stock 2023-06-21 4 C 0 3125 A 29631 D Restricted Stock Units 2023-06-20 4 M 0 430 0.00 D Class A Common Stock 430 860 D Restricted Stock Units 2023-06-20 4 M 0 3125 0.00 D Class B Common Stock 3125 21875 D Class B Common Stock 2023-06-20 4 M 0 3125 0.00 A Class A Common Stock 3125 3125 D Class B Common Stock 2023-06-21 4 C 0 3125 0.00 D Class A Common Stock 3125 0 D Each restricted stock unit, or RSU, represents a contingent right to receive one share of Class A Common Stock. Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date. The remaining RSUs vest in three equal installments beginning on June 20, 2023. The remaining RSUs vest in eight equal quarterly installments beginning on June 20, 2023. Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date. /s/ Paul Warenski, by power of attorney 2023-06-22