Statement of Changes in Beneficial Ownership (4)
28 Marzo 2020 - 12:38AM
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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OMB APPROVAL
OMB Number:
3235-0287
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0.5
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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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UV PARTNERS IV LP |
2. Issuer Name and Ticker or Trading Symbol
Cloudflare, Inc.
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NET
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
C/O PELION VENTURES, 2750 E. COTTONWOOD PARKWAY, SUITE 600 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/25/2020 |
(Street)
SALT LAKE CITY, UT 84121
(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)
___ Form filed by One Reporting Person
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X
_ 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 | 3/25/2020 | | C(1) | | 1545563 | A | (1) | 1545563 | I | See footnotes (2)(4) |
Class A Common Stock | 3/25/2020 | | C(1) | | 501588 | A | (1) | 501588 | I | See footnotes (3)(4) |
Class A Common Stock | 3/25/2020 | | C(1) | | 952782 | A | (1) | 952782 | I | See footnotes (5)(6) |
Class A Common Stock | 3/25/2020 | | J(7) | | 1545563 | D | (7) | 0 | I | See footnotes (2)(4) |
Class A Common Stock | 3/25/2020 | | J(8) | | 501588 | D | (8) | 0 | I | See footnotes (3)(4) |
Class A Common Stock | 3/25/2020 | | J(9) | | 952782 | D | (9) | 0 | I | See footnotes (5)(6) |
Class A Common Stock | 3/25/2020 | | J(7) | | 333842 | A | (7) | 333842 | I | See footnotes (4)(10) |
Class A Common Stock | 3/25/2020 | | J(8) | | 108338 | A | (8) | 442180 | I | See footnotes (4)(10) |
Class A Common Stock | 3/25/2020 | | J(9) | | 205795 | A | (9) | 205795 | I | See footnotes (6)(11) |
Class A Common Stock | 3/25/2020 | | J(12) | | 442180 | D | (12) | 0 | I | See footnotes (4)(10) |
Class A Common Stock | 3/25/2020 | | J(13) | | 205795 | D | (13) | 0 | I | See footnotes (6)(11) |
Class A Common Stock | 3/25/2020 | | J(12) | | 133813 | A | (12) | 133813 | I | See footnote (14) |
Class A Common Stock | 3/25/2020 | | J(13) | | 63672 | A | (13) | 197485 | I | See footnote (14) |
Class A Common Stock | | | | | | | | 831641 | I | See footnote (15) |
Class A Common Stock | | | | | | | | 211603 | I | See footnote (16) |
Class A Common Stock | | | | | | | | 252550 | I | See footnote (17) |
Class A Common Stock | | | | | | | | 2954546 | I | See footnote (18) |
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 |
Class B Common Stock | (1) | 3/25/2020 | | C (1) | | | 1545563 | (1) | (1) | Class A Common Stock | 1545563 | $0 | 17328139 | I | See footnotes (2)(4) |
Class B Common Stock | (1) | 3/25/2020 | | C (1) | | | 501588 | (1) | (1) | Class A Common Stock | 501588 | $0 | 6125143 | I | See footnotes (3)(4) |
Class B Common Stock | (1) | 3/25/2020 | | C (1) | | | 952782 | (1) | (1) | Class A Common Stock | 952782 | $0 | 11634769 | I | See footnotes (5)(6) |
Class B Common Stock | (19) | | | | | | | (19) | (19) | Class A Common Stock | 3467897 | | 3467897 | I | See footnote (15) |
Class B Common Stock | (19) | | | | | | | (19) | (19) | Class A Common Stock | 882371 | | 882371 | I | See footnote (16) |
Class B Common Stock | (19) | | | | | | | (19) | (19) | Class A Common Stock | 1053124 | | 1053124 | I | See footnote (17) |
Class B Common Stock | (19) | | | | | | | (19) | (19) | Class A Common Stock | 497996 | | 497996 | I | See footnote (20) |
Class B Common Stock | (19) | | | | | | | (19) | (19) | Class A Common Stock | 34051 | | 34051 | I | See footnote (21) |
Class B Common Stock | (19) | | | | | | | (19) | (19) | Class A Common Stock | 622265 | | 622265 | I | See footnote (18) |
Explanation of Responses: |
(1) | Represents conversion of shares of the Issuer's Class B Common Stock into shares of the Issuer's Class A Common Stock on a 1-for-1 basis. The convertibility of the Class B Common Stock has no expiration date. |
(2) | The shares are held of record by UV Partners IV, L.P. ("UVP IV"). |
(3) | The shares are held of record by UV Partners IV-A, L.P. ("UVP IV-A"). |
(4) | UV Partners IV GP, L.L.C. ("UVP IV GP") is the General Partner of UVP IV and UVP IV-A, but disclaims beneficial ownership of the securities held of record by UVP IV and UVP IV-A except to the extent of its pecuniary interest therein. Blake Modersitzki is the Managing Member of UVP IV GP. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by UVP IV, UVP IV-A and UVP IV GP, but disclaims beneficial ownership of the securities held by of record by UVP IV, UVP IV-A and UVP IV GP except to the extent of his individual pecuniary interest therein. |
(5) | The shares are held of record by UV Partners IV Financial Institutions Fund, L.P. ("UVP IV FIF"). |
(6) | UV Partners IV Financial Institutions GP, L.L.C. ("UVP IV FIGP") is the General Partner of UVP IV FIF, but disclaims beneficial ownership of the securities held of record by UVP IV and UVP IV-A except to the extent of its pecuniary interest therein. Blake Modersitzki is the Managing Member of UVP IV FIGP. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by UVP IV FIF and UVP IV FIGP, but disclaims beneficial ownership of the securities held of record by UVP IV FIF and UVP IV FIGP except to the extent of his individual pecuniary interest therein. |
(7) | Represents in-kind distribution by UVP IV without consideration to its partners (including UVP IV GP). |
(8) | Represents in-kind distribution by UVP IV-A without consideration to its partners (including UVP IV GP). |
(9) | Represents in-kind distribution by UVP IV FIF without consideration to its partners (including UVP IV FIGP). |
(10) | The shares are held of record by UVP IV GP. |
(11) | The shares are held of record by UVP IV FIGP. |
(12) | Represents in-kind distribution by UVP IV GP without consideration to its members. |
(13) | Represents in-kind distribution by UVP IV FIGP without consideration to its members. |
(14) | The shares are held of record by Blake G. Modersitzki. |
(15) | The shares are held of record by Pelion Ventures V, L.P. ("PV V"). Pelion Venture Partners V, L.L.C. ("PVP V") is the General Partner of PV V, and Blake Modersitzki is the Managing Member of PVP V. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by PV V, but disclaims beneficial ownership of the securities held of record by PV V except to the extent of his individual pecuniary interest therein. |
(16) | The shares are held of record by Pelion Ventures V-A, L.P. ("PV V-A"). PVP V is the General Partner of PV V-A, and Blake Modersitzki is the Managing Member of PVP V. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by PV V-A, but disclaims beneficial ownership of the securities held of record by PV V-A except to the extent of his individual pecuniary interest therein. |
(17) | The shares are held of record by Pelion Ventures V Financial Institutions Fund, L.P. ("PV V FIF"). Pelion Ventures V Financial Institutions GP, L.L.C. ("PV V FIGP") is the General Partner of PV V FIF and Blake Modersitzki is the Managing Member of PV V FIGP. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by PV V FIF, but disclaims beneficial ownership of the securities held of record by PV V FIF except to the extent of his individual pecuniary interest therein. |
(18) | The shares are held of record by Pelion Opportunity Fund I, LLC ("POF I"). Pelion Opportunities Partners I, L.L.C. ("POP I") is the Manager of POF I, and Blake Modersitzki is the Managing Member of POP I. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by POF I, but disclaims beneficial ownership of the securities held by of record by POF I except to the extent of his individual pecuniary interest therein. |
(19) | Each share of Class B Common Stock is convertible at any time into Class A Common Stock on a one-to-one basis at the reporting person's election and has no expiration date. |
(20) | The shares are held of record by Pelion Ventures VI, L.P. ("PV VI"). Pelion Venture Partners VI, L.L.C. ("PVP VI") is the General Partner of PV VI, and Blake Modersitzki is the Managing Member of PVP VI. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by PV VI, but disclaims beneficial ownership of the securities held of record by PV VI except to the extent of his individual pecuniary interest therein. |
(21) | The shares are held of record by Pelion Ventures VI-A, L.P. ("PV VI-A"). PVP VI is the General Partner of PV VI-A, and Blake Modersitzki is the Managing Member of PVP VI. Mr. Modersitzki exercises voting and dispositive power with respect to the shares held of record by PV VI-A, but disclaims beneficial ownership of the securities held of record by PV VI-A except to the extent of his individual pecuniary interest therein. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
UV PARTNERS IV LP C/O PELION VENTURES 2750 E. COTTONWOOD PARKWAY, SUITE 600 SALT LAKE CITY, UT 84121 |
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UV PARTNERS IV-A LP C/O PELION VENTURES 2750 E. COTTONWOOD PARKWAY, SUITE 600 SALT LAKE CITY, UT 84121 |
| X |
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UV PARTNERS IV FINANCIAL INSTITUTIONS FUND LP C/O PELION VENTURES 2750 E. COTTONWOOD PARKWAY, SUITE 600 SALT LAKE CITY, UT 84121 |
| X |
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UV Partners IV GP, L.L.C. C/O PELION VENTURES 2750 E. COTTONWOOD PARKWAY, SUITE 600 SALT LAKE CITY, UT 84121 |
| X |
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UV Partners IV Financial Institutions GP, L.L.C. C/O PELION VENTURES 2750 E. COTTONWOOD PARKWAY, SUITE 600 SALT LAKE CITY, UT 84121 |
| X |
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Modersitzki Blake G C/O PELION VENTURES 2750 E. COTTONWOOD PARKWAY, SUITE 600 SALT LAKE CITY, UT 84121 |
| X |
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Signatures
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UV Partners IV, L.P. By: UV Partners IV GP, L.L.C. Its: General Partner By: /s/ Blake G. Modersitzki Managing Member | | 3/27/2020 |
**Signature of Reporting Person | Date |
UV Partners IV-A, L.P. By: UV Partners IV GP, L.L.C. Its: General Partner By: /s/ Blake G. Modersitzki Managing Member | | 3/27/2020 |
**Signature of Reporting Person | Date |
UV Partners IV Financial Institutions Fund, L.P. By: UV Partners IV Financial Institutions GP, L.L.C. Its: General Partner By: /s/ Blake G. Modersitzki Managing Member | | 3/27/2020 |
**Signature of Reporting Person | Date |
UV Partners IV GP, L.L.C. By: /s/ Blake G. Modersitzki Managing Member | | 3/27/2020 |
**Signature of Reporting Person | Date |
UV Partners IV Financial Institutions GP, L.L.C. By: /s/ Blake G. Modersitzki Managing Member | | 3/27/2020 |
**Signature of Reporting Person | Date |
/s/ Blake G. Modersitzki | | 3/27/2020 |
**Signature of Reporting Person | Date |
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