Artur Bergman - 12 Jul 2021 Form 4 Insider Report for Fastly, Inc. (FSLY)

Role
Chief Architect, Exec. Chair, Director
Signature
/s/ Seth Gottlieb, Attorney-in-Fact
Issuer symbol
FSLY
Transactions as of
12 Jul 2021
Net transactions value
$0
Form type
4
Filing time
12 Jul 2021, 21:12:47 UTC
Previous filing
08 Jul 2021
Next filing
21 Jul 2021
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction FSLY Class A Common Stock Conversion of derivative security +5,716,248 +1908% 6,015,769 12 Jul 2021 Direct F1
transaction FSLY Class A Common Stock Conversion of derivative security +840,005 840,005 12 Jul 2021 See footnote F1, F2
transaction FSLY Class A Common Stock Conversion of derivative security +209,686 209,686 12 Jul 2021 See footnote F1, F3
transaction FSLY Class A Common Stock Conversion of derivative security +209,686 209,686 12 Jul 2021 See footnote F1, F4
transaction FSLY Class A Common Stock Conversion of derivative security +1,000,000 1,000,000 12 Jul 2021 See footnote F1, F5

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction FSLY Class B Common Stock Conversion of derivative security $0 -5,716,248 -100% $0.000000* 0 12 Jul 2021 Class A Common Stock 5,716,248 Direct F1
transaction FSLY Class B Common Stock Conversion of derivative security $0 -840,005 -100% $0.000000* 0 12 Jul 2021 Class A Common Stock 840,005 See footnote F1, F2
transaction FSLY Class B Common Stock Conversion of derivative security $0 -209,686 -100% $0.000000* 0 12 Jul 2021 Class A Common Stock 209,686 See footnote F1, F3
transaction FSLY Class B Common Stock Conversion of derivative security $0 -209,686 -100% $0.000000* 0 12 Jul 2021 Class A Common Stock 209,686 See footnote F1, F4
transaction FSLY Class B Common Stock Conversion of derivative security $0 -1,000,000 -100% $0.000000* 0 12 Jul 2021 Class A Common Stock 1,000,000 See footnote F1, F5
transaction FSLY Employee Stock Option (Right to Buy) Other $0 -918,834 -100% $0.000000* 0 12 Jul 2021 Class B Common Stock 918,834 $1.15 Direct F6, F7
transaction FSLY Employee Stock Option (Right to Buy) Other $0 +918,834 $0.000000 918,834 12 Jul 2021 Class A Common Stock 918,834 $1.15 Direct F6, F7
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
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.
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.
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.
F5 The shares are held by The Per Artur Bergman Grantor Retained Annuity Trust No. 1, of which the reporting person is trustee.
F6 In connection with the automatic conversion described in footnote (1), 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.
F7 Fully vested.