Statement of Changes in Beneficial Ownership (4)
June 02 2022 - 07:55PM
Edgar (US Regulatory)
FORM 4
[ ] Check this box if no longer subject to Section
16. Form 4 or Form 5 obligations may continue. See
Instruction 1(b).
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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
Estimated average burden
hours per response... 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 * Ritter
Gordon |
2. Issuer Name and Ticker or Trading
Symbol VEEVA SYSTEMS INC [ VEEV ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
_____ Officer (give title
below) _____ Other
(specify below)
|
(Last)
(First)
(Middle)
C/O EMERGENCE CAPITAL, 160 BOVET ROAD, STE. 300 |
3. Date of Earliest Transaction (MM/DD/YYYY)
6/1/2022
|
(Street)
SAN MATEO, CA 94402
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Class A Common Stock |
6/1/2022 (1) |
|
M |
|
229 |
A |
$0 (2) |
458 |
D |
|
Class A Common Stock |
|
|
|
|
|
|
|
543170 |
I |
By the Ritter-Metzler Revocable Trust dated
November 6, 2000 (3) |
Class A Common Stock |
|
|
|
|
|
|
|
92000 |
I |
By Mountaintop Prism LLC (4) |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
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 |
Restricted Stock Units |
(2) |
6/1/2022 (1) |
|
M |
|
|
229 |
(5) |
(5) |
Class A Common Stock |
229.0 |
$0 |
0 |
D |
|
Explanation of
Responses: |
(1) |
Transaction exempt from
Section 16(b) of the Securities Exchange Act of 1934 (the "Act")
pursuant to Rule 16b-6(b) promulgated under theAct. |
(2) |
Each Restricted Stock Unit
("RSU") represents a contingent right to receive one share of Class
A Common Stock of the Issuer. |
(3) |
Shares held by The
Ritter-Metzler Revocable Trust dated November 6, 2000 (the
"Trust"). The Reporting Person is a trustee and beneficiary of the
Trust and may be deemed to share voting and dispositive power with
regard to the reported shares held by the Trust. The Reporting
Person disclaims beneficial ownership of the reported shares held
by the Trust, except to the extent, if any, of his pecuniary
interest therein. |
(4) |
Shares held by Mountaintop
Prism, LLC ("Mountaintop"). The Reporting Person is a controlling
person of Mountaintop and may be deemed to share voting and
dispositive power with regard to the reported shares held by
Mountaintop. The Reporting Person disclaims beneficial ownership of
the reported shares held by Mountaintop, except to the extent, if
any, of his pecuniary interest therein. |
(5) |
On June 23, 2021, the
Reporting Person was granted 917 RSUs under the Issuer's 2013
Equity Incentive Plan, of which 1/4 of the RSUs vested on September
1, 2021, with the remaining RSUs vesting equally on a quarterly
basis thereafter, subject to continued service on the Issuer's
board of directors on the applicable vesting date. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Ritter Gordon
C/O EMERGENCE CAPITAL
160 BOVET ROAD, STE. 300
SAN MATEO, CA 94402 |
X |
|
|
|
Signatures
|
/s/ Jonathan Faddis,
attorney-in-fact |
|
6/2/2022 |
**Signature of
Reporting Person |
Date |
Reminder: Report on a separate line for each class
of securities beneficially owned directly or
indirectly. |
* |
If the form is filed by more than one
reporting person, see Instruction 4(b)(v). |
** |
Intentional misstatements or omissions
of facts constitute Federal Criminal Violations. See 18
U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: |
File three copies of this Form, one of
which must be manually signed. If space is insufficient, see
Instruction 6 for procedure. |
Persons who respond to the collection of information
contained in this form are not required to respond unless the form
displays a currently valid OMB control number. |
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