Filing Details
- Accession Number:
- 0001209191-16-142323
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2016-09-21 18:11:59
- Reporting Period:
- 2016-09-21
- Filing Date:
- 2016-09-21
- Accepted Time:
- 2016-09-21 18:11:59
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1437352 | Everbridge Inc. | EVBG | Services-Prepackaged Software (7372) | 000000000 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1684552 | W. Cintawati Putra | C/O Everbridge, Inc. 25 Corporate Drive, Suite 400 Burlington MA 01803 | Yes | No | No | No |
Reported Non-Derivative Transactions
Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|---|---|---|---|---|---|
Common Stock | Acquisiton | 2016-09-21 | 171,974 | $0.00 | 1,131,628 | No | 4 | C | Indirect | See Footnote |
Common Stock | Disposition | 2016-09-21 | 190,211 | $11.16 | 941,417 | No | 4 | S | Indirect | See Footnote |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | C | Indirect | See Footnote |
No | 4 | S | Indirect | See Footnote |
Reported Derivative Transactions
Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
---|---|---|---|---|---|---|---|
Common Stock | Series A-1 Preferred Stock | Disposition | 2016-09-21 | 171,974 | $0.00 | 171,974 | $0.00 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
0 | No | 4 | C | Indirect |
Reported Non-Derivative Holdings
Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
---|---|---|---|
Common Stock | 23,179 | Direct | |
Common Stock | 521,739 | Indirect | See Footnote |
Common Stock | 521,739 | Indirect | See Footnote |
Common Stock | 1,304 | Indirect | By spouse |
Footnotes
- The Series A-1 Preferred Stock, which had no expiration date, automatically converted to common stock on a 1-for-1 basis upon the completion of the Issuer's initial public offering.
- The shares are held by the Steven T. Kirchmeier and Cintawati W. Putra Living Trust Dated May 5, 2015, of which the reporting person and her spouse are trustee.
- The shares were sold in the Issuer's initial public offering, pursuant to a Form S-1 Registration Statement which was declared effective on September 15, 2016. The reported sale price reflects the price at which the shares were sold to the underwriters.
- The shares are held by the Cintawati W. Putra 2015 Grantor Retained Annuity Trust, of which the reporting person and her spouse are trustee.
- The shares are held by the Steven T. Kirchmeier 2015 Grantor Retained Annuity Trust, of which the reporting person and her spouse are trustee.