11/19/2024 | Press release | Distributed by Public on 11/19/2024 16:10
FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) |
4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Class B Common Stock | (3) | 11/15/2024 | C | 22,359 | (3) | (3) | Class A Common Stock | 22,359 | $ 0 | 888,728(6)(7)(8) | I | See footnote(4) | |||
Class B Common Stock | (3) | (3) | (3) | Class A Common Stock | 1,447,532 | 1,447,532 | I | See footnote(5) | |||||||
Class B Common Stock | (3) | (3) | (3) | Class A Common Stock | 351,505 | 351,505(9) | I | See footnote(10) | |||||||
Class B Common Stock | (3) | (3) | (3) | Class A Common Stock | 948,175 | 948,175 | I | See footnote(11) | |||||||
Class B Common Stock | (3) | (3) | (3) | Class A Common Stock | 162,968 | 162,968(12) | I | See footnote(13) | |||||||
Class B Common Stock | (3) | (3) | (3) | Class A Common Stock | 1,189,225 | 1,189,225 | I | See footnote(14) | |||||||
Class B Common Stock | (3) | (3) | (3) | Class A Common Stock | 1,200,000 | 1,200,000 | I | See footnote(15) | |||||||
Class B Common Stock | (3) | (3) | (3) | Class A Common Stock | 1,000,000 | 1,000,000(16) | I | See footnote(17) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Zatlyn Michelle C/O CLOUDFLARE, INC.101 TOWNSEND STREET SAN FRANCISCO, CA 94107 |
X | President and COO |
/s/ Lindsey Cochran, by power of attorney | 11/19/2024 |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The shares were withheld to satisfy the reporting person's tax liability in connection with the vesting of restricted stock units, or RSUs. |
(2) | The 9,478 shares issuable upon vesting and settlement of the RSUs were re-registered and are now held directly by The Sutherland/Zatlyn Revocable Trust dated November 17, 2016, for which the reporting person serves as co-trustee (the "Revocable Trust"). |
(3) | Each share of Class B Common Stock is convertible at any time into Class A Common Stock on a one-to-one basis at the reporting person's election and has no expiration date. |
(4) | The shares are held of record by the Revocable Trust. |
(5) | The shares are held of record by The SZ 2021 Irrevocable Trust dated November 6, 2021, for which the reporting person serves as the appointer. |
(6) | Includes 87,032 shares previously reported as held directly by The Sutherland/Zatlyn 2023 Annuity Trust II dated August 29, 2023, for which the reporting person serves as co-trustee (the "2023 Annuity Trust II") which were re-registered on November 15, 2024 and are now held directly by the Revocable Trust. |
(7) | Excludes 57,230 shares previously reported as held directly by the Revocable Trust which were re-registered on November 15, 2024 and are now held directly by The SZ 2020 Irrevocable Trust dated November 25, 2020, for which the reporting person serves as an investment advisor (the "SZ 2020 Irrevocable Trust"). |
(8) | Excludes 1,000,000 shares previously reported as held directly by the Revocable Trust which were re-registered on November 15, 2024 and are now held directly by The Sutherland/Zatlyn 2024 Annuity Trust III dated November 12, 2024, for which the reporting person serves as co-trustee (the "2024 Annuity Trust III"). |
(9) | Includes 57,230 shares previously reported as held directly by the Revocable Trust which were re-registered on November 15, 2024 and are now held of record by the SZ 2020 Irrevocable Trust. |
(10) | The shares are held of record by the SZ 2020 Irrevocable Trust. |
(11) | The shares are held of record by The Sutherland/Zatlyn 2023 Annuity Trust dated May 24, 2023, for which the reporting person serves as co-trustee. |
(12) | Excludes 87,032 shares previously reported as held directly by the 2023 Annuity Trust II which were re-registered on November 15, 2024 and are now held directly by the Revocable Trust. |
(13) | The shares are held of record by 2023 Annuity Trust II. |
(14) | The shares are held of record by The Sutherland/Zatlyn 2024 Annuity Trust dated May 29, 2024, for which the reporting person serves as co-trustee. |
(15) | The shares are held of record by The Sutherland/Zatlyn 2024 Annuity Trust II dated August 19, 2024, for which the reporting person serves as co-trustee. |
(16) | Consists of 1,000,000 shares previously reported as held directly by the Revocable Trust which were re-registered on November 15, 2024 and are now held directly by the 2024 Annuity Trust III. |
(17) | The shares are held of record by the 2024 Annuity Trust III. |