Statement of Changes in Beneficial Ownership (4)
February 04 2020 - 5:57PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Crehan Shane |
2. Issuer Name and Ticker or Trading Symbol
Eventbrite, Inc.
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EB
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) __X__ Other (specify below) Chief Accounting Officer
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Chief Accounting Officer |
(Last)
(First)
(Middle)
C/O EVENTBRITE, INC., 155 5TH STREET, FLOOR 7 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/1/2020 |
(Street)
SAN FRANCISCO, CA 94103
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class A Common Stock | 2/1/2020 | | M | | 13086 | A | $0.0 | 15110 (1) | D | |
Class A Common Stock | 2/1/2020 | | F | | 4862 (2) | D | $21.15 | 10248 | D | |
Class A Common Stock | 2/1/2020 | | M | | 716 | A | $0.0 | 10964 | D | |
Class A Common Stock | 2/1/2020 | | F | | 248 (2) | D | $21.15 | 10716 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Units | (3) | 2/1/2020 | | M | | | 13086 | (4) | (4) | Class A Common Stock | 13086 | $0.0 | 49290 | D | |
Restricted Stock Units | (3) | 2/1/2020 | | M | | | 716 | (5) | (5) | Class A Common Stock | 716 | $0.0 | 48574 | D | |
Explanation of Responses: |
(1) | Includes 1,086 shares acquired under the Eventbrite, Inc. 2018 Employee Stock Purchase Plan. |
(2) | Represents shares that have been withheld by the Issuer to satisfy income tax and withholding and remittance obligations in connection with the net settlement of RSUs (as defined herein) and does not represent a sale by the Reporting Person. |
(3) | Each Restricted Stock Unit ("RSU") represents a contingent right to receive one share of Class A common stock. |
(4) | The RSUs shall vest as to 25% of the units on February 1, 2020 and in 12 equal quarterly installments thereafter, subject to the Reporting Person's continued service to the Issuer. |
(5) | The RSUs vest in sixteen equal quarterly installments from May 1, 2019 through May 1, 2023 subject to the Reporting Person's continued service to the Issuer. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Crehan Shane C/O EVENTBRITE, INC. 155 5TH STREET, FLOOR 7 SAN FRANCISCO, CA 94103 |
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| Chief Accounting Officer | Chief Accounting Officer |
Signatures
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By: Samantha Harnett, Attorney-in-fact For: the Reporting Person | | 2/4/2020 |
**Signature of Reporting Person | Date |
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