Statement of Changes in Beneficial Ownership (4)
November 19 2021 - 4:31PM
Edgar (US Regulatory)
FORM 4
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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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0.5
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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
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BERNSHTEYN ROBERT |
2. Issuer Name and Ticker or Trading Symbol
Coupa Software Inc
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COUP
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Executive Officer |
(Last)
(First)
(Middle)
C/O COUPA SOFTWARE INC., 1855 S. GRANT STREET |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/17/2021 |
(Street)
SAN MATEO, CA 94402
(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)
_X
_ Form filed by One Reporting Person
___ 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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Common Stock | 11/17/2021 | | M | | 50000 | A | $13.04 | 275920 | D | |
Common Stock | 11/17/2021 | | S(1) | | 3032 | D | $219.1582 (2) | 272888 | D | |
Common Stock | 11/17/2021 | | S(1) | | 7375 | D | $220.1153 (3) | 265513 | D | |
Common Stock | 11/17/2021 | | S(1) | | 8797 | D | $221.2603 (4) | 256716 | D | |
Common Stock | 11/17/2021 | | S(1) | | 12064 | D | $222.2371 (5) | 244652 | D | |
Common Stock | 11/17/2021 | | S(1) | | 11583 | D | $223.1025 (6) | 233069 | D | |
Common Stock | 11/17/2021 | | S(1) | | 2250 | D | $224.1216 (7) | 230819 | D | |
Common Stock | 11/17/2021 | | S(1) | | 1000 | D | $225.4532 (8) | 229819 | D | |
Common Stock | 11/17/2021 | | S(1) | | 696 | D | $226.4947 (9) | 229123 | D | |
Common Stock | 11/17/2021 | | S(1) | | 204 | D | $227.3313 (10) | 228919 | D | |
Common Stock | 11/17/2021 | | S(1) | | 200 | D | $228.5400 (11) | 228719 | D | |
Common Stock | 11/17/2021 | | S(1) | | 1499 | D | $230.3484 (12) | 227220 | D | |
Common Stock | 11/17/2021 | | S(1) | | 1300 | D | $231.6237 (13) | 225920 | D | |
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 |
Stock Option (Right to Buy) | $13.04 | 11/17/2021 | | M | | | 50000 | (14) | 9/7/2026 | Common Stock | 50000 | $0 | 50621 | D | |
Explanation of Responses: |
(1) | The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on September 24, 2020. |
(2) | This transaction was executed in multiple trades at prices ranging from $218.65 to $219.59. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(3) | This transaction was executed in multiple trades at prices ranging from $219.67 to $220.65. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(4) | This transaction was executed in multiple trades at prices ranging from $220.68 to $221.66. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(5) | This transaction was executed in multiple trades at prices ranging from $221.68 to $222.67. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(6) | This transaction was executed in multiple trades at prices ranging from $222.69 to $223.66. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(7) | This transaction was executed in multiple trades at prices ranging from $223.71 to $224.57. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(8) | This transaction was executed in multiple trades at prices ranging from $225.01 to $225.90. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(9) | This transaction was executed in multiple trades at prices ranging from $226.02 to $227.00. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(10) | This transaction was executed in multiple trades at prices ranging from $227.03 to $227.46. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(11) | This transaction was executed in multiple trades at prices ranging from $228.26 to $228.79. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(12) | This transaction was executed in multiple trades at prices ranging from $229.94 to $230.76. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(13) | This transaction was executed in multiple trades at prices ranging from $231.07 to $231.75. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. |
(14) | The option grant is fully vested as of September 8, 2020. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
BERNSHTEYN ROBERT C/O COUPA SOFTWARE INC. 1855 S. GRANT STREET SAN MATEO, CA 94402 | X |
| Chief Executive Officer |
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Signatures
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/s/ Jon Stueve, Authorized Signatory For: Robert Bernshteyn | | 11/19/2021 |
**Signature of Reporting Person | Date |
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