Form 4 for FSLY Fastly, Inc.
Accepted 2021-07-12 00:00:00 ET · period of report 2021-07-12 · accession 0001209191-21-046377 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DMI | 2021-07-12 | 2021-07-12 | FSLY | Bergman Artur | Chief Architect, Exec. COB, Dir | C - Cnv Deriv | — | +2.26M | 209.7K | New | — |
| D | 2021-07-12 | 2021-07-12 | FSLY | Bergman Artur | Chief Architect, Exec. COB, Dir | C - Cnv Deriv | — | +5.72M | 6.02M | +1,908% | — |
| DMI | 2021-07-12 | 2021-07-12 | FSLY | Bergman Artur | Chief Architect, Exec. COB, Dir | C - Cnv Deriv | $0.00 | -2.26M | 0 | -100% | $0 |
| DM | 2021-07-12 | 2021-07-12 | FSLY | Bergman Artur | Chief Architect, Exec. COB, Dir | J - Other | $0.00 | 0 | 0 | New | $0 |
| D | 2021-07-12 | 2021-07-12 | FSLY | Bergman Artur | Chief Architect, Exec. COB, Dir | C - Cnv Deriv | $0.00 | -5.72M | 0 | -100% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Class A Common Stock | 2021-07-12 | C | A | 1,000,000 | — | 1,000,000 | I | — | — | (F1) 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. |
| 2 | Common | Class A Common Stock | 2021-07-12 | C | A | 209,686 | — | 209,686 | I See footnote | — | — | (F1) 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. (F4) The shares are held by The Artur Bergman Remainder Trust Three DTD 5/2/2019, of which the reporting person is the investment advisor. |
| 3 | Common | Class A Common Stock | 2021-07-12 | C | A | 840,005 | — | 840,005 | I See footnote | — | — | (F1) 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. (F3) The shares are held by The Artur Bergman Remainder Trust Two DTD 5/2/2019, of which the reporting person is the investment advisor. |
| 4 | Common | Class A Common Stock | 2021-07-12 | C | A | 5,716,248 | — | 6,015,769 | D See footnote | — | — | (F1) 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. (F2) The shares are held by The Artur Bergman Remainder Trust One DTD 5/2/2019, of which the reporting person is the investment advisor. |
| 5 | Common | Class A Common Stock | 2021-07-12 | C | A | 209,686 | — | 209,686 | I See footnote | — | — | (F1) 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. (F5) The shares are held by The Per Artur Bergman Grantor Retained Annuity Trust No. 1, of which the reporting person is trustee. |
| 6 | Derivative | Class B Common Stock | 2021-07-12 | C | D | 840,005 | $0.00 | 0 | I See footnote | — · — to — | 840,005 Class A Common Stock | (F3) The shares are held by The Artur Bergman Remainder Trust Two DTD 5/2/2019, of which the reporting person is the investment advisor. (F1) 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. |
| 7 | Derivative | Employee Stock Option (Right to Buy) | 2021-07-12 | J | A | 918,834 | $0.00 | 918,834 | D | $1.15 · — to 2025-06-01 | 918,834 Class A Common Stock | (F7) Fully vested. |
| 8 | Derivative | Employee Stock Option (Right to Buy) | 2021-07-12 | J | D | 918,834 | $0.00 | 0 | D | $1.15 · — to 2025-06-01 | 918,834 Class B Common Stock | (F7) Fully vested. |
| 9 | Derivative | Class B Common Stock | 2021-07-12 | C | D | 209,686 | $0.00 | 0 | I See footnote | — · — to — | 209,686 Class A Common Stock | (F4) The shares are held by The Artur Bergman Remainder Trust Three DTD 5/2/2019, of which the reporting person is the investment advisor. (F1) 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. |
| 10 | Derivative | Class B Common Stock | 2021-07-12 | C | D | 209,686 | $0.00 | 0 | I See footnote | — · — to — | 209,686 Class A Common Stock | (F5) The shares are held by The Per Artur Bergman Grantor Retained Annuity Trust No. 1, of which the reporting person is trustee. (F1) 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. |
| 11 | Derivative | Class B Common Stock | 2021-07-12 | C | D | 1,000,000 | $0.00 | 0 | I | — · — to — | 1,000,000 Class A Common Stock | (F1) 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. |
| 12 | Derivative | Class B Common Stock | 2021-07-12 | C | D | 5,716,248 | $0.00 | 0 | D See footnote | — · — to — | 5,716,248 Class A Common Stock | (F2) The shares are held by The Artur Bergman Remainder Trust One DTD 5/2/2019, of which the reporting person is the investment advisor. (F1) 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. |