Amended Statement of Changes in Beneficial Ownership (4/a)
February 07 2020 - 5:47PM
Edgar (US Regulatory)
FORM 4
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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
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Hartz Julia |
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)
__X__ Director __X__ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Chief Executive Officer |
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(Last)
(First)
(Middle)
C/O EVENTBRITE, INC., 155 5TH STREET, 7TH FLOOR |
3. Date of Earliest Transaction
(MM/DD/YYYY)
6/7/2019 |
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(Street)
SAN FRANCISCO, CA 94103
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
6/24/2019 |
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 | 6/7/2019 | | A(1) | | 5017 (2) | A | $0.00 | 7464 (3) | I | See Footnote (4) |
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 |
| Explanation of Responses: |
| (1) | These shares represent restricted stock units (each, an "RSU"). Each RSU represents a contingent right to receive one share of Class A Common Stock. 100% of the RSUs vest on the earlier of (i) June 7, 2020 or (ii) the next annual meeting of stockholders of the Issuer, subject to Kevin Hartz's continued service to the Issuer. |
| (2) | The Form 4/A filed on June 24, 2019 corrected the number of RSUs that were granted to Kevin Hartz. |
| (3) | This Form 4/A corrects the Reporting Person's indirect ending balance of Class A Common Stock. The Form 4 filed on September 26, 2018 correctly reported 411,026 shares as Class B Common Stock, and the Form 4/A filed on June 24, 2019 incorrectly reported those 411,026 shares as Class A Common Stock. |
| (4) | Held by Kevin Hartz, who is the Chairman of the Issuer's Board of Directors and the spouse of the Reporting Person, and as such may be deemed to be beneficially held by the Reporting Person. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Hartz Julia
C/O EVENTBRITE, INC.
155 5TH STREET, 7TH FLOOR
SAN FRANCISCO, CA 94103 | X | X | Chief Executive Officer |
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Signatures
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| /s/ Samantha Harnett, Attorney-in-Fact | | 2/7/2020 |
| **Signature of Reporting Person | Date |
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