0001869745-22-000001.txt : 20220621
0001869745-22-000001.hdr.sgml : 20220621
20220621185006
ACCESSION NUMBER: 0001869745-22-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220616
FILED AS OF DATE: 20220621
DATE AS OF CHANGE: 20220621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Henry Gregory N
CENTRAL INDEX KEY: 0001869745
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40601
FILM NUMBER: 221029491
MAIL ADDRESS:
STREET 1: 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
wf-form4_165585178999871.xml
FORM 4
X0306
4
2022-06-16
0
0001845022
Couchbase, Inc.
BASE
0001869745
Henry Gregory N
C/O COUCHBASE, INC.
3250 OLCOTT STREET
SANTA CLARA
CA
95054
0
1
0
0
SVP & Chief Financial Officer
Common Stock
2022-06-16
4
F
0
3619
14.6725
D
300505
I
The Henry Family Trust
Common Stock
1000
D
Stock Option
4.675
2026-11-29
Common Stock
85560.0
85560
D
Stock Option
4.675
2026-11-29
Common Stock
207658.0
207658
I
The Henry Family Trust
Stock Option
7.45
2028-04-02
Common Stock
7583.0
7583
D
Stock Option
7.45
2028-04-02
Common Stock
18416.0
18416
I
The Henry Family Trust
Stock Option
7.475
2029-06-13
Common Stock
15466.0
15466
D
Stock Option
7.475
2029-06-13
Common Stock
24534.0
24534
I
The Henry Family Trust
Stock Option
7.75
2030-06-23
Common Stock
10833.0
10833
D
Stock Option
7.75
2030-06-23
Common Stock
9166.0
9166
I
The Henry Family Trust
Stock Option
21.4
2031-03-09
Common Stock
10058.0
10058
D
Stock Option
21.4
2031-03-09
Common Stock
69941.0
69941
I
The Henry Family Trust
The sale reported on this Form 4 represents shares sold by the Reporting Person to cover tax withholding obligations in connection with the vesting and settlement of restricted stock units ("RSUs"). The sale was to satisfy tax withholding obligations to be funded by a "sell to cover" transaction and does not represent a discretionary transaction by the Reporting Person.
Includes RSUs or performance-based restricted stock units ("PSUs"), each of which represents a contingent right to receive one share of the Issuer's Common Stock, subject to the applicable vesting schedule and the conditions of each RSU or PSU, respectively. On March 25, 2022, the Reporting Person transferred 170,000 PSUs to the Henry Family Trust, of which the Reporting Person serves as trustee. The Reporting Person and members of his immediate family are the sole beneficiaries of the trust. On March 25, 2022, the Reporting Person transferred 134,124 RSUs to The Henry Family Trust.
Includes 1,000 shares acquired under the 2021 Employee Stock Purchase Plan on March 21, 2022.
One fourth (1/4th) of the shares subject to the option vested on November 28, 2017 and one forty-eighth (1/48th) of the shares vest monthly thereafter, subject to the Reporting Person's continued service through each such date.
On March 14, 2022, the Reporting Person transferred a portion of the 293,218 shares subject to an option to the Henry Family Trust.
One fourth (1/4th) of the shares subject to the option vested on February 1, 2019 and one forty-eighth (1/48th) of the shares vest monthly thereafter, subject to the Reporting Person's continued service through each such date.
On March 14, 2022, the Reporting Person transferred a portion of the 25,999 shares subject to an option to the Henry Family Trust.
One fourth (1/4th) of the shares subject to the option vested on February 1, 2020 and one forty-eighth (1/48th) of the shares vest monthly thereafter, subject to the Reporting Person's continued service through each such date.
On March 14, 2022, the Reporting Person transferred a portion of the 40,000 shares subject to an option to the Henry Family Trust.
One fourth (1/4th) of the shares subject to the option vested on February 1, 2021 and one forty-eighth (1/48th) of the shares vest monthly thereafter, subject to the Reporting Person's continued service through each such date.
On March 14, 2022, the Reporting Person transferred a portion of the 19,999 shares subject to an option to the Henry Family Trust.
One fourth (1/4th) of the shares subject to the option vested on February 1, 2022 and one forty-eighth (1/48th) of the shares vest monthly thereafter, subject to the Reporting Person's continued service through each such date.
On March 14, 2022, the Reporting Person transferred a portion of the 79,999 shares subject to an option to the Henry Family Trust.
/s/ Margaret Chow, by Power of Attorney for Gregory N. Henry
2022-06-21