Amended Statement of Beneficial Ownership (3/a)
July 24 2020 - 5:01PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
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3235-0104
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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
*
Sellers Jeanette |
2. Date of Event Requiring Statement (MM/DD/YYYY)
7/13/2020
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3. Issuer Name and Ticker or Trading Symbol
NCINO, INC. [NCNO]
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(Last)
(First)
(Middle)
6770 PARKER FARM DRIVE, SUITE 300 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) VP of Accounting / |
(Street)
WILMINGTON, NC 28405
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY) 7/13/2020
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Stock Option (Right to Buy) | (1) | 2/1/2024 | Common Stock | 1250 | $1.29 | I | By spouse (3) |
Stock Option (Right to Buy) | (1) | 8/1/2024 | Common Stock | 1522 | $1.29 | I | By spouse (3) |
Stock Option (Right to Buy) | (1) | 2/1/2024 | Common Stock | 1794 | $1.29 | I | By spouse (3) |
Stock Option (Right to Buy) | (2) | 8/1/2026 | Common Stock | 9000 | $4.5 | I | By spouse (3) |
Explanation of Responses: |
(1) | This option vested in four equal annual installments starting on August 1, 2015. |
(2) | This option vests in four equal annual installments starting on August 1, 2017, subject to the reporting person's spouse's continued employment through the applicable vesting date. This option fully vests and becomes exercisable upon a change in control of the Issuer. |
(3) | This Form 3 Amendment is being filed to add stock options held by the reporting person's spouse, which were inadvertently omitted from the Form 3 filed by the reporting person on July 13, 2020. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Sellers Jeanette 6770 PARKER FARM DRIVE SUITE 300 WILMINGTON, NC 28405 |
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| VP of Accounting |
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Signatures
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/s/ Jeanette Sellers | | 7/24/2020 |
**Signature of Reporting Person | Date |
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