Filing Details
- Accession Number:
- 0001193125-17-038589
- Form Type:
- 13G Filing
- Publication Date:
- 2017-02-10 17:28:02
- Filed By:
- Ellertson Jaime Wallace
- Company:
- Everbridge Inc. (NASDAQ:EVBG)
- Filing Date:
- 2017-02-10
- SEC Url:
- 13G Filing
Please notice the below summary table is generated without human intervention and may contain errors. Please refer to the complete filing displayed below for exact figures.
Name | Sole Voting Power | Shared Voting Power | Sole Dispositive Power | Shared Dispositive Power | Aggregate Amount Owned Power | Percent of Class |
---|---|---|---|---|---|---|
Jaime Ellertson | 2,492,842 | 86,956 | 2,492,842 | 86,956 | 2,579,798 | 9.4% |
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. )*
Everbridge, Inc.
(Name of Issuer)
Common Stock, $0.001 Par Value
(Title of Class of Securities)
29978A104
(CUSIP Number)
December 31, 2016
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ Rule 13d-1(b)
☐ Rule 13d-1(c)
☒ Rule 13d-1(d)
* | The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. |
The information required in the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
1 | NAME OF REPORTING PERSON: I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY):
Jaime Ellertson | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY
| |||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION
USA | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 5 | SOLE VOTING POWER
2,492,842 shares* | ||||
6 | SHARED VOTING POWER
86,956 shares** | |||||
7 | SOLE DISPOSITIVE POWER
2,492,842 shares | |||||
8 | SHARED DISPOSITIVE POWER
86,956 shares | |||||
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,579,798 shares | |||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ☐
| |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
9.4%*** | |||||
12 | TYPE OF REPORTING PERSON
IN |
* | Includes 195,470 shares of Common Stock of the Issuer issuable upon the exercise of options that are exercisable on or before April 11, 2017. |
** | Shares are owned by one of Mr. Ellertsons children. |
*** | The foregoing percentage is calculated based on 27,148,042 shares of Common Stock of the Issuer, reported to be outstanding as of October 31, 2016 in the Issuers September 30, 2016 Quarterly Report filed on Form 10-Q. |
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ITEM 1(A). | NAME OF ISSUER: |
Everbridge, Inc.
ITEM 1(B). | ADDRESS OF ISSUERS PRINCIPAL EXECUTIVE OFFICES: |
25 Corporate Drive, Suite 400
Burlington, Massachusetts 01803
ITEM 2(A). | NAME OF PERSON FILING: |
Jaime Ellertson
ITEM 2(B). | ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: |
c/o Everbridge, Inc.
25 Corporate Drive
Burlington, MA 01803
ITEM 2(C). | CITIZENSHIP: |
USA
ITEM 2(D). | TITLE OF CLASS OF SECURITIES: |
Common Stock, $0.001 par value per share
ITEM 2(E). | CUSIP NUMBER: |
29978A104
ITEM 3. | Not Applicable |
ITEM 4. | OWNERSHIP |
The following information with respect to the ownership of the ordinary shares of the issuer by the Reporting Person filing this Statement is provided as of December 31, 2016:
(a) Amount Beneficially Owned:
See Row 9 of cover page for the Reporting Person.
(b) Percent of Class:
See Row 11 of cover page for the Reporting Person.
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
See Row 5 of cover page for the Reporting Person.
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(ii) Shared power to vote or to direct the vote:
See Row 6 of cover page for the Reporting Person.
(iii) Sole power to dispose or to direct the disposition of:
See Row 7 of cover page for the Reporting Person.
(iv) Shared power to dispose or to direct the disposition of:
See Row 8 of cover page for the Reporting Person.
ITEM 5. | OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS |
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following ☐. N/A
ITEM 6. | OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON |
Not applicable.
ITEM 7. | IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY |
Not applicable.
ITEM 8. | IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP |
Not applicable.
ITEM 9. | NOTICE OF DISSOLUTION OF GROUP |
Not applicable.
ITEM 10. | CERTIFICATION |
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
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SIGNATURE
After reasonable inquiry and to the best of its knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Date: February 10, 2017
/s/ Jaime Ellertson |
JAIME ELLERTSON |
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