0001891718-22-000002.txt : 20220617 0001891718-22-000002.hdr.sgml : 20220617 20220617171531 ACCESSION NUMBER: 0001891718-22-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211201 FILED AS OF DATE: 20220617 DATE AS OF CHANGE: 20220617 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: 221025019 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 wf-form4_165550050526926.xml FORM 4 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 2129 0 A 9641 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 hundred percent (100%) of the restricted stock units will be scheduled to vest on the earlier of (i) the one-year anniversary of the date the annual award is granted or (ii) the day prior to the date of the Annual Meeting next following the date of the annual award is granted. /s/ Margaret Chow, by Power of Attorney for Alvina Antar 2022-06-17