0001209191-21-067602.txt : 20211202
0001209191-21-067602.hdr.sgml : 20211202
20211202163511
ACCESSION NUMBER: 0001209191-21-067602
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211201
FILED AS OF DATE: 20211202
DATE AS OF CHANGE: 20211202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Antar Alvina
CENTRAL INDEX KEY: 0001891718
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40601
FILM NUMBER: 211467094
MAIL ADDRESS:
STREET 1: C/O COUCHBASE, INC.
STREET 2: 3250 OLCOTT STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Couchbase, Inc.
CENTRAL INDEX KEY: 0001845022
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 263576987
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0131
BUSINESS ADDRESS:
STREET 1: 3250 OLCOTT STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
BUSINESS PHONE: 6504177500
MAIL ADDRESS:
STREET 1: 3250 OLCOTT STREET
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-12-01
0
0001845022
Couchbase, Inc.
BASE
0001891718
Antar Alvina
C/O COUCHBASE, INC.
3250 OLCOTT STREET
SANTA CLARA
CA
95054
1
0
0
0
Common Stock
2021-12-01
4
A
0
7512
0.00
A
7512
D
This represents an award of restricted stock units to the Issuer's non-employee director. Each unit represents a contingent right to receive one share of the Issuer's common stock upon vesting. One-third (1/3) of these restricted stock units will vest annually over a 3-year period from December 1, 2021, subject to the Reporting Person's continued service with the Issuer through each such vesting date.
/s/ Margaret Chow, by Power of Attorney for Alvina Antar
2021-12-02