Statement of Changes in Beneficial Ownership (4)
November 18 2020 - 4:29PM
Edgar (US Regulatory)
FORM 4
[X]
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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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
*
VENROCK ASSOCIATES V LP |
2. Issuer Name and Ticker or Trading Symbol
Cloudflare, Inc.
[
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 VENROCK, 3340 HILLVIEW AVENUE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/16/2020 |
(Street)
PALO ALTO, CA 94304
(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
_
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 | 11/16/2020 | | J(1) | | 3663320 | D | $0.00 | 21134616 | I | By Funds (2) |
Class A Common Stock | 11/18/2020 | | J(3) | | 1336680 | D | $0.00 | 19797936 | I | By Funds (4) |
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 |
Explanation of Responses: |
(1) | On November 16, 2020, Venrock Associates V, L.P. ("VA5"), Venrock Partners V, L.P. ("VP5") and Venrock Entrepreneurs Fund V, L.P. ("VEF5") distributed an aggregate of 4,511,504, 382,500 and 105,996 shares, respectively, of the Issuer's Class A Common Stock as a distribution-in-kind to their respective general partners and limited partners. Of these amounts, 1,210,933, 102,667 and 23,080 shares of the Issuer's Class A Common Stock were received by Venrock Management V, LLC ("VM5"), Venrock Partners Management V, LLC ("VPM5") and VEF Management V, LLC ("VEFM5"), respectively, the sole general partners of VA5, VP5 and VEF5, respectively. |
(2) | Consists of 19,074,624 shares held by VA5, 1,210,933 shares held by VM5, 1,617,212 shares held by VP5, 102,667 shares held by VPM5, 442,780 shares held by VEF5 and 23,080 shares held by VEFM5. VM5, VPM5 and VEFM5 each expressly disclaim beneficial ownership over the shares held by VA5, VP5 and VEF5 except to the extent of their indirect pecuniary interest therein. |
(3) | On November 18, 2020, VM5, VPM5 and VEFM5 distributed an aggregate of 1,210,933, 102,667 and 23,080 shares, respectively, of the Issuer's Class A Common Stock as a distribution-in-kind to their respective members. |
(4) | Consists of 17,863,691 shares held by VA5, 1,514,545 shares held by VP5 and 419,700 shares held by VEF5. VM5, VPM5 and VEFM5 each expressly disclaim beneficial ownership over the shares held by VA5, VP5 and VEF5 except to the extent of their indirect pecuniary interest therein. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
VENROCK ASSOCIATES V LP C/O VENROCK 3340 HILLVIEW AVENUE PALO ALTO, CA 94304 |
| X |
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VENROCK PARTNERS V L P C/O VENROCK 3340 HILLVIEW AVENUE PALO ALTO, CA 94304 |
| X |
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Venrock Entrepreneurs Fund V, L.P. C/O VENROCK 3340 HILLVIEW AVENUE PALO ALTO, CA 94304 |
| X |
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Venrock Management V, LLC C/O VENROCK 3340 HILLVIEW AVENUE PALO ALTO, CA 94304 |
| X |
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Venrock Partners Management V, LLC C/O VENROCK 3340 HILLVIEW AVENUE PALO ALTO, CA 94304 |
| X |
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VEF Management V, LLC C/O VENROCK 3340 HILLVIEW AVENUE PALO ALTO, CA 94304 |
| X |
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Signatures
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/s/ David L. Stepp, Authorized Signatory | | 11/18/2020 |
**Signature of Reporting Person | Date |
/s/ David L. Stepp, Authorized Signatory | | 11/18/2020 |
**Signature of Reporting Person | Date |
/s/ David L. Stepp, Authorized Signatory | | 11/18/2020 |
**Signature of Reporting Person | Date |
/s/ David L. Stepp, Authorized Signatory | | 11/18/2020 |
**Signature of Reporting Person | Date |
/s/ David L. Stepp, Authorized Signatory | | 11/18/2020 |
**Signature of Reporting Person | Date |
/s/ David L. Stepp, Authorized Signatory | | 11/18/2020 |
**Signature of Reporting Person | Date |
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