0000899243-21-037509.txt : 20210923 0000899243-21-037509.hdr.sgml : 20210923 20210923212410 ACCESSION NUMBER: 0000899243-21-037509 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210923 FILED AS OF DATE: 20210923 DATE AS OF CHANGE: 20210923 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kochansky Joseph Morris CENTRAL INDEX KEY: 0001880114 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40838 FILM NUMBER: 211273866 MAIL ADDRESS: STREET 1: C/O CLEARWATER ANALYTICS HOLDINGS, INC. STREET 2: 777 W. MAIN STREET, SUITE 900 CITY: BOISE STATE: ID ZIP: 83702 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Clearwater Analytics Holdings, Inc. CENTRAL INDEX KEY: 0001866368 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 777 W. MAIN STREET, SUITE 900 CITY: BOISE STATE: ID ZIP: 83702 BUSINESS PHONE: 208-918-2400 MAIL ADDRESS: STREET 1: 777 W. MAIN STREET, SUITE 900 CITY: BOISE STATE: ID ZIP: 83702 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-09-23 0 0001866368 Clearwater Analytics Holdings, Inc. CWAN 0001880114 Kochansky Joseph Morris C/O CLEARWATER ANALYTICS HOLDINGS, INC. 777 W. MAIN STREET, SUITE 900 BOISE ID 83702 0 1 0 0 See Remarks Restricted Units 0.00 CWAN Holdings LLC Interests 375000 D Employee Stock Option (right to buy) 14.28 2031-06-25 Class A Common Stock 1375000 D Theses shares represent restricted units which, upon vesting, will be settled in units of CWAN Holdings LLC Interests ("LLC Interests") and an equivalent number of noneconomic voting shares of Class B Common Stock. The reporting person will have the right to exchange his LLC Interests (together with the delivery for no consideration of an equal number of shares of Class B Common Stock) for an equal number of newly issued shares of Class A Common Stock, or, at the election of the Issuer, a cash payment equal to the 20-day volume weighted average price of shares of Class A Common Stock immediately prior to the applicable exchange date. The restricted units vest in four equal annual installments beginning on and including June 28, 2022. The reported securities are options which vest and become exercisable as follows: one installment reflecting 25% of the options vests and becomes exercisable on June 28, 2022 and the remainder vests and becomes exercisable 1/48th in 36 equal monthly installments beginning on July 28, 2022. President, Product and Technology Exhibit List - Exhibit 24.1 - Power of Attorney /s/ Alphonse Valbrune, as Attorney-in-Fact, for Joseph Kochansky 2021-09-23 EX-24.1 2 attachment1.htm EX-24.1 DOCUMENT

                               POWER OF ATTORNEY

      KNOW ALL BY THESE PRESENTS, that the undersigned hereby makes, constitutes
and appoints Sandeep Sahai, Jim Cox and Alphonse Valbrune, signing singly, the
undersigned's true and lawful attorneys-in-fact, with full power and authority
as hereinafter described on behalf of and in the name, place and stead of the
undersigned to: (i) execute for and on behalf of the undersigned, in the
undersigned's capacity as a director, director nominee, officer or beneficial
owner of shares of common stock (the "Shares") of Clearwater Analytics Holdings,
Inc., a Delaware corporation (the "Company"), any Schedule 13D or Schedule 13G,
and any amendments, supplements or exhibits thereto (including any joint filing
agreements) required to be filed by the undersigned under Section 13 of the
Securities  Exchange Act of 1934, as amended, and the rules and regulations
promulgated thereunder (the "Exchange Act"), and any Forms 3, 4, and  5 and any
amendments, supplements or exhibits thereto required to be filed by the
undersigned under Section 16(a) of the Exchange Act; (ii) do and perform any and
all acts for and on behalf of the undersigned which may be necessary or
desirable to complete and execute any such Schedule 13D, Schedule 13G, Form 3,
4, or 5 and timely file such forms with the United States Securities and
Exchange Commission and any stock exchange on which the Shares are then listed;
and (iii) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorneys-in-fact, may be of benefit
to, in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorneys-in-fact on behalf of
the undersigned pursuant to this Power of Attorney shall be in such form and
shall contain such terms and conditions as such attorneys-in-fact may approve
in such attorneys-in-fact's discretion.

      The undersigned hereby grants to such attorneys-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorneys-in-fact's substitute or
substitutes, shall lawfully do or cause to be done by virtue of this Power of
Attorney and the rights and powers herein granted. The undersigned acknowledges
that the foregoing attorneys-in-fact, in serving in such capacity at the
request of the undersigned, are not assuming, nor is the Company assuming, any
of the undersigned's responsibilities to comply with Section 13 and Section 16
of the Exchange Act.

      This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file reports or schedules under Section 13
or Section 16 of the Exchange Act with respect to the undersigned's holdings of
and transactions in securities issued by the Company, unless earlier revoked by
the undersigned in a signed writing delivered to the foregoing attorneys-in-
fact.

                                   * * * * *

      IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 23rd day of September, 2021.


                                                  /s/ Joseph Kochansky
                                                  ------------------------------
                                                  Joseph Kochansky