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DOMO, INC. — Director's Dealing 2018
Jun 29, 2018
32564_dirs_2018-06-28_3224dc0c-eb2c-4e50-866d-7a030f2598c1.zip
Director's Dealing
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SEC Form 3 — Initial Statement of Beneficial Ownership
Issuer: DOMO, INC. (DOMO)
CIK: 0001505952
Period of Report: 2018-06-28
Reporting Person: Bullock D Fraser (Director)
Holdings (Non-Derivative)
| Security | Shares | Ownership |
|---|---|---|
| Class B Common Stock | 8666 | Indirect |
| Class B Common Stock | 8789 | Indirect |
| Class B Common Stock | 20000 | Direct |
Holdings (Derivative)
| Security | Exercise Price | Expiration | Underlying | Shares | Ownership |
|---|---|---|---|---|---|
| Series A Preferred Stock | $ | Class B Common Stock (18783.0) | Indirect | ||
| Series C Preferred Stock | $ | Class B Common Stock (70190.0) | Indirect |
Footnotes
F1: The reported securities are held directly by the Bullock Family 2003 Gift Trust. Jennifer Bullock serves as trustee to the Bullock Family 2003 Gift Trust. The Reporting Person disclaims beneficial ownership of the securities held by the Bullock Family 2003 Gift Trust except to the extent of any pecuniary interest therein.
F2: The reported securities are held directly by the Bullock Family 101 Trust. Robert Gardner serves as trustee to the Bullock Family 101 Trust. The Reporting Person disclaims beneficial ownership of the securities held by the Bullock Family 101 Trust except to the extent of any pecuniary interest therein.
F3: The shares are represented by restricted stock units ("RSUs"). Each RSU represents the Reporting Person's right to receive one share of Class B Common Stock of the Issuer, subject to the applicable vesting schedule. In the event the Reporting Person ceases to be a Service Provider, the unvested RSUs will be cancelled by the Issuer.
F4: Each of the Series A Preferred Stock and Series C Preferred Stock shall automatically convert into shares of Class B Common Stock on a one to one basis immediately prior to the completion of the Issuer's initial public offering of Class B Common Stock and has no expiration date.