UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series A Preferred Stock | (6) | (6) | Common Stock | 19,846,041 (1) (6) | $ (6) | I | By Battery Ventures IX, L.P. (2) |
Series A Preferred Stock | (6) | (6) | Common Stock | 198,440 (1) (6) | $ (6) | I | By Battery Investment Partners IX, LLC (3) |
Series B Preferred Stock | (6) | (6) | Common Stock | 14,321,250 (1) (6) | $ (6) | I | By Battery Ventures IX, L.P. (2) |
Series B Preferred Stock | (6) | (6) | Common Stock | 143,199 (1) (6) | $ (6) | I | By Battery Investment Partners IX, LLC (3) |
Series C Preferred Stock | (6) | (6) | Common Stock | 6,473,307 (1) (6) | $ (6) | I | By Battery Ventures IX, L.P. (2) |
Series C Preferred Stock | (6) | (6) | Common Stock | 64,728 (1) (6) | $ (6) | I | By Battery Investment Partners IX, LLC (3) |
Series D Preferred Stock | (6) | (6) | Common Stock | 287,166 (1) (6) | $ (6) | I | By Battery Ventures IX, L.P. (2) |
Series D Preferred Stock | (6) | (6) | Common Stock | 2,871 (1) (6) | $ (6) | I | By Battery Investment Partners IX, LLC (3) |
Series D-2 Preferred Stock | (6) | (6) | Common Stock | 91,707 (1) (6) | $ (6) | I | By Battery Ventures IX, L.P. (2) |
Series D-2 Preferred Stock | (6) | (6) | Common Stock | 918 (1) (6) | $ (6) | I | By Battery Investment Partners IX, LLC (3) |
Series E-1 Preferred Stock | (6) | (6) | Common Stock | 14,289 (1) (6) | $ (6) | I | By Battery Ventures IX, L.P. (2) |
Series E-1 Preferred Stock | (6) | (6) | Common Stock | 144 (1) (6) | $ (6) | I | By Battery Investment Partners IX, LLC (3) |
Series E-1 Preferred Stock | (6) | (6) | Common Stock | 78,340 (1) (6) | $ (6) | I | By Battery Ventures Select Fund I, L.P (4) |
Series E-1 Preferred Stock | (6) | (6) | Common Stock | 7,748 (1) (6) | $ (6) | I | By Battery Investment Partners Select Fund I, L.P. (5) |
Series E-2 Preferred Stock | (6) | (6) | Common Stock | 1,773 (1) (6) | $ (6) | I | By Battery Ventures IX, L.P. (2) |
Series E-2 Preferred Stock | (6) | (6) | Common Stock | 18 (1) (6) | $ (6) | I | By Battery Investment Partners IX, LLC (3) |
Series E-2 Preferred Stock | (6) | (6) | Common Stock | 30,499 (1) (6) | $ (6) | I | By Battery Ventures Select Fund I, L.P (4) |
Series E-2 Preferred Stock | (6) | (6) | Common Stock | 3,016 (1) (6) | $ (6) | I | By Battery Investment Partners Select Fund I, L.P. (5) |
Series F Preferred Stock | (6) | (6) | Common Stock | 5,498 (1) (6) | $ (6) | I | By Battery Ventures IX, L.P. (2) |
Series F Preferred Stock | (6) | (6) | Common Stock | 55 (1) (6) | $ (6) | I | By Battery Investment Partners IX, LLC (3) |
Series F Preferred Stock | (6) | (6) | Common Stock | 1,436,205 (1) (6) | $ (6) | I | By Battery Ventures Select Fund I, L.P (4) |
Series F Preferred Stock | (6) | (6) | Common Stock | 142,042 (1) (6) | $ (6) | I | By Battery Investment Partners Select Fund I, L.P. (5) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Agrawal Neeraj C/O SPRINKLR, INC. 29 WEST 35TH STREET, 7TH FLOOR NEW YORK, NY 10001 |
X | X |
/s/ Jason Minio, Attorney-in-Fact | 06/22/2021 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | Each share of Common Stock shall be reclassified into one share of Class B Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock. |
(2) | The reported securities are owned directly by Battery Ventures IX, L.P. ("BV IX"). The sole general partner of BV IX is Battery Partners IX, LLC ("BP IX"). BP IX's investment adviser is Battery Management Corp. The Reporting Person is a managing member of BP IX and may be deemed to share voting and dispositive power over the securities held by BV IX. 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 of for any other purpose. |
(3) | The reported securities are owned directly by Battery Investment Partners IX, LLC ("BIP IX"). The sole managing member of BIP IX is BP IX. BP IX's investment adviser is Battery Management Corp. The Reporting Person is a managing members of BP IX and may be deemed to share voting and dispositive power over the securities held by BIP IX. 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 of for any other purpose. |
(4) | The reported securities are owned directly by Battery Ventures Select Fund I, L.P. ("BV Select I"). The sole general partner of BV Select I is Battery Partners Select Fund I, L.P. ("BP Select I"). The general partner of BP Select I is Battery Partners Select Fund I GP, LLC ("BP Select I GP"). BP Select I GP's investment adviser is Battery Management Corp. The Reporting Person is a managing member of BP Select I GP and may be deemed to share voting and dispositive power over the securities held by BV Select I. 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 of for any other purpose |
(5) | The reported securities are owned directly by Battery Investment Partners Select Fund I, L.P. ("BIP Select I"). The sole general partner of BIP Select I is BP Select I GP. BP Select I GP's investment adviser is Battery Management Corp. The Reporting Person is a managing member of BP Select I GP and may be deemed to share voting and dispositive power over the securities held by BIP Select I. 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 of for any other purpose. |
(6) | Each share of Series A Preferred Stock, Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock, Series D-2 Preferred Stock, Series E-1 Preferred Stock, Series E-2 Preferred Stock and Series F Stock will automatically convert into shares of Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering and have no expiration date. |
Remarks: Exhibit List - Exhibit 24 - Power of Attorney |