Statement of Changes in Beneficial Ownership (4)
05 January 2022 - 09:24AM
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).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
|
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 * Pelosi
Janine |
2. Issuer Name and Ticker or Trading
Symbol Zoom Video Communications, Inc. [ ZM ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Chief Marketing Officer |
(Last)
(First)
(Middle)
C/O ZOOM VIDEO COMMUNICATIONS, INC., 55 ALMADEN BOULEVARD,
6TH FLOOR |
3. Date of Earliest Transaction (MM/DD/YYYY)
12/30/2021
|
(Street)
SAN JOSE, CA 95113
(City)
(State)
(Zip)
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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 |
12/30/2021 |
|
C |
|
17075 |
A |
$0 |
34647 |
D |
|
Class A Common Stock |
|
|
|
|
|
|
|
7310 |
I |
See footnote (1) |
Class A Common Stock |
|
|
|
|
|
|
|
7310 |
I |
See footnote (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 |
Employee Stock Option (right to
buy) |
$3.77 |
12/30/2021 |
|
M |
|
|
17075 |
(3) |
9/6/2028 |
Class B Common Stock |
17075.0 |
$0 |
200815 |
D |
|
Class B Common Stock |
(4) |
12/30/2021 |
|
M |
|
17075 |
|
(4) |
(4) |
Class A Common Stock |
17075.0 |
$0 |
17075 |
D |
|
Class B Common Stock |
(4) |
12/30/2021 |
|
C |
|
|
17075 |
(4) |
(4) |
Class A Common Stock |
17075.0 |
$0 |
0 |
D |
|
Restricted Stock Units |
(5) |
|
|
|
|
|
|
(6) |
(6) |
Class A Common Stock |
225.0 |
|
225 |
D |
|
Explanation of
Responses: |
(1) |
The shares are held of
record by the JJ Pelosi 2021 Zoom GRAT, for which the Reporting
Person's spouse serves as trustee. |
(2) |
The shares are held of
record by the JA Pelosi 2021 Zoom GRAT, for which the Reporting
Person serves as trustee. |
(3) |
1/48 of the shares subject
to the option vests in equal monthly installments commencing one
month from July 11, 2018. |
(4) |
Each share of Class B Common
Stock is convertible at the option of the Reporting Person into one
share of Class A Common Stock and has no expiration date. Each
share of Class B Common Stock held by the Reporting Person will
convert automatically into one share of Class A Common Stock upon
(a) other than Eric S. Yuan, the death of the Reporting Person, or
(b) any transfer by the Reporting Person except certain "Permitted
Transfers" described in the Issuer's certificate of incorporation.
All outstanding shares of Class B Common Stock will convert into
shares of Class A Common Stock upon the earliest of (i) six months
following the death or incapacity of Mr. Yuan, (ii) six months
following the date that Mr. Yuan ceases providing services to the
Issuer, (iii) the date specified by the holders of a majority of
the shares of Class B Common Stock, and (iv) the 15-year
anniversary of the closing of the Issuer's initial public
offering. |
(5) |
Each restricted stock unit
represents a contingent right to receive one share of Issuer's
Class A Common Stock. |
(6) |
The reporting person
received an award of restricted stock units on June 8, 2020, 1/2 of
which will vest on the first anniversary date of the grant, and 1/2
of which will vest on the second anniversary date of the
grant. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Pelosi Janine
C/O ZOOM VIDEO COMMUNICATIONS, INC.
55 ALMADEN BOULEVARD, 6TH FLOOR
SAN JOSE, CA 95113 |
|
|
Chief Marketing Officer |
|
Signatures
|
/s/ Aparna Bawa, Attorney-in-Fact |
|
1/3/2022 |
**Signature of
Reporting Person |
Date |
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