Statement of Changes in Beneficial Ownership (4)
11 June 2022 - 06:03AM
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 * Grady Patrick
W |
2. Issuer Name and Ticker or Trading
Symbol Amplitude, Inc. [ AMPL ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director __X__
10% Owner
_____ Officer (give title
below) _____ Other
(specify below)
|
(Last)
(First)
(Middle)
2800 SAND HILL ROAD, SUITE 101 |
3. Date of Earliest Transaction (MM/DD/YYYY)
6/9/2022
|
(Street)
MENLO PARK, CA 94025
(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 |
6/9/2022 |
|
A |
|
9943.00 (1) |
A |
$0.00 |
9943.00 |
D |
|
Class A Common Stock |
|
|
|
|
|
|
|
2225077.00 |
I |
Sequoia Capital U.S. Growth Fund IX,
L.P. (2) |
Class A Common Stock |
|
|
|
|
|
|
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242788.00 |
I |
Sequoia Capital U.S. Growth IX Principals Fund,
L.P. (2) |
Class A Common Stock |
|
|
|
|
|
|
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95885.00 |
I |
Sequoia Capital U.S. Growth Partners Fund IX,
L.P. (2) |
Class A Common Stock |
|
|
|
|
|
|
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235201.00 |
I |
Sequoia Capital U.S. Venture 2010 - Seed Fund,
L.P. (2) |
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 |
Explanation of
Responses: |
(1) |
Represents restricted stock
units ("RSUs") that were granted pursuant to the Issuer's
Non-Employee Director Compensation Program (the "Program"). Each
RSU represents a right to receive one share of Class A Common
Stock. The RSUs will vest in full on the earlier of (i) June 9,
2023 or (ii) immediately before the Issuer's 2023 annual meeting of
stockholders, subject to the reporting person's continued service
on the Board through such vesting date. |
(2) |
SC US (TTGP), Ltd. is (i)
the general partner of SC U.S. Venture 2010 Management, L.P., which
is the general partner of Sequoia Capital U.S. Venture 2010-Seed
Fund, L.P., and (ii) the general partner of SC U.S. Growth IX
Management, L.P., which is the general partner of Sequoia Capital
U.S. Growth Fund IX, L.P., Sequoia Capital U.S. Growth Partners
Fund IX, L.P., and Sequoia Capital U.S. Growth IX Principals Fund,
L.P. The Reporting Person is a Director of SC US (TTGP), Ltd. The
Reporting Person disclaims beneficial ownership of these securities
except to the extent of his pecuniary interest therein, and the
inclusion of these securities in this report shall not be deemed an
admission of beneficial ownership of the reported securities for
purposes of Section 16 or for any other purposes. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Grady Patrick W
2800 SAND HILL ROAD, SUITE 101
MENLO PARK, CA 94025 |
X |
X |
|
|
Signatures
|
/s/ Jung Yeon Son,
Attorney-in-Fact |
|
6/10/2022 |
**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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