Statement of Changes in Beneficial Ownership (4)
July 19 2021 - 6:07PM
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
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
|
1. Name and Address of Reporting Person
*
Lares Adriel G |
2. Issuer Name and Ticker or Trading Symbol
Fastly, Inc.
[
FSLY
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Chief Financial Officer |
|
(Last)
(First)
(Middle)
C/O FASTLY, INC., 475 BRANNAN STREET, SUITE 300 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
7/15/2021 |
|
(Street)
SAN FRANCISCO, CA 94107
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security
(Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code
(Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
| Class A Common Stock | 7/15/2021 | | M | | 5000 | A | $0 | 184471 | D | |
| Class A Common Stock | 7/15/2021 | | S(1) | | 5000 | D | $50 | 179471 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
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 |
| Employee Stock Option (Right to Buy) | $2.36 | 7/12/2021 | | J (2)(3) | | | 570248 | (4) | 7/11/2026 | Class B Common Stock | 570248.0 | $0 | 0 | D | |
| Employee Stock Option (Right to Buy) | $2.36 | 7/12/2021 | | J (2)(3) | | 570248 | | (4) | 7/11/2026 | Class A Common Stock | 570248.0 | $0 | 570248 | D | |
| Employee Stock Option (Right to Buy) | $2.36 | 7/15/2021 | | M | | | 5000 | (4) | 7/11/2026 | Class A Common Stock | 5000.0 | $0 | 565248 | D | |
| Explanation of Responses: |
| (1) | The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person. |
| (2) | On October 12, 2020, the Issuer's outstanding shares of Class B Common Stock represented less than 10% of the aggregate number of shares of the then outstanding Class A Common Stock and Class B Common Stock. As a result, each share of the Issuer's Class B Common Stock automatically converted into one share of Class A Common Stock pursuant to the Issuer's amended and restated certificate of incorporation, as amended on July 12, 2021. |
| (3) | In connection with the automatic conversion described in footnote (2), outstanding Class B Common Stock options that were issued under the Issuer's 2011 Equity Incentive Plan remain unchanged, except that the underlying shares are now Class A Common Stock. |
| (4) | The stock option vested and became exercisable as to 25% of the shares subject to the option on May 16, 2017, and thereafter vested as to 1/48th of the shares in equal monthly installments, until such time as the option is 100% vested, subject to the continuing employment of the reporting person on each vesting date. |
Reporting Owners
|
| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Lares Adriel G
C/O FASTLY, INC.
475 BRANNAN STREET, SUITE 300
SAN FRANCISCO, CA 94107 |
|
| Chief Financial Officer |
|
Signatures
|
| /s/ Seth Gottlieb, Attorney-in-Fact | | 7/19/2021 |
| **Signature of Reporting Person | Date |
Fastly (NYSE:FSLY)
Historical Stock Chart
From Mar 2024 to Apr 2024
Fastly (NYSE:FSLY)
Historical Stock Chart
From Apr 2023 to Apr 2024
