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UiPath, Inc. Director's Dealing 2021

Apr 21, 2021

30851_dirs_2021-04-20_89721399-7397-40f1-ba51-88c19d75b2ac.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: UiPath, Inc. (PATH)
CIK: 0001734722
Period of Report: 2021-04-20

Reporting Person: MENDOZA THOMAS F (Director)

Holdings (Non-Derivative)

Security Shares Ownership
Class A Common Stock 1611120 Indirect
Class A Common Stock 100000 Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Series B-1 Preferred Stock $ Class A Common Stock (57180) Indirect
Series B-2 Preferred Stock $ Class A Common Stock (16950) Indirect
Series C-1 Preferred Stock $ Class A Common Stock (17430) Indirect
Series C-2 Preferred Stock $ Class A Common Stock (13920) Indirect
Series D-1 Preferred Stock $ Class A Common Stock (13053) Indirect
Series D-2 Preferred Stock $ Class A Common Stock (2193) Indirect

Footnotes

F1: Shares are held directly by the Amended and Restated Thomas F. Mendoza Revocable Trust, of which Reporting Person is the trustee and a beneficiary.

F2: Shares are held directly by the Thomas F. Mendoza 2021 GRAT, of which the Reporting Person is the trustee and a beneficiary.

F3: Each share of Series B-1 Preferred Stock, Series B-2 Preferred Stock, Series C-1 Preferred Stock, Series C-2 Preferred Stock, Series D-1 Preferred Stock, and D-2 Preferred Stock will automatically convert into one share of Class A Common Stock immediately prior to the closing of the Issuer's initial public offering (IPO), and has no expiration date.