0001869745-24-000010.txt : 20240620 0001869745-24-000010.hdr.sgml : 20240620 20240620211357 ACCESSION NUMBER: 0001869745-24-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240617 FILED AS OF DATE: 20240620 DATE AS OF CHANGE: 20240620 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Henry Gregory N CENTRAL INDEX KEY: 0001869745 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40601 FILM NUMBER: 241058209 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] ORGANIZATION NAME: 06 Technology 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 wk-form4_1718932430.xml FORM 4 X0508 4 2024-06-17 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 0 Common Stock 2024-06-17 4 F 0 44804 17.24 D 397042 I The Henry Family Trust Common Stock 1000 D Shares sold by the Reporting Person to cover tax withholding obligations in connection with the vesting and settlement of restricted stock units. 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 40,544 shares of common stock, out of which 18,844 shares were earned on June 17, 2024 under a performance award granted on January 26, 2022 as amended in March, 2023, 226,165 restricted stock units and 130,333 performance-based restricted stock units. On May 20, 2024, the Reporting Person transferred 111,194 RSUs 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. /s/ Margaret Chow, by Power of Attorney for Gregory N. Henry 2024-06-20