Filing Details

Accession Number:
0001209191-16-142323
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-09-21 18:11:59
Reporting Period:
2016-09-21
Filing Date:
2016-09-21
Accepted Time:
2016-09-21 18:11:59
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1437352 Everbridge Inc. EVBG Services-Prepackaged Software (7372) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1684552 W. Cintawati Putra C/O Everbridge, Inc.
25 Corporate Drive, Suite 400
Burlington MA 01803
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2016-09-21 171,974 $0.00 1,131,628 No 4 C Indirect See Footnote
Common Stock Disposition 2016-09-21 190,211 $11.16 941,417 No 4 S Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect See Footnote
No 4 S Indirect See Footnote
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A-1 Preferred Stock Disposition 2016-09-21 171,974 $0.00 171,974 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 23,179 Direct
Common Stock 521,739 Indirect See Footnote
Common Stock 521,739 Indirect See Footnote
Common Stock 1,304 Indirect By spouse
Footnotes
  1. The Series A-1 Preferred Stock, which had no expiration date, automatically converted to common stock on a 1-for-1 basis upon the completion of the Issuer's initial public offering.
  2. The shares are held by the Steven T. Kirchmeier and Cintawati W. Putra Living Trust Dated May 5, 2015, of which the reporting person and her spouse are trustee.
  3. The shares were sold in the Issuer's initial public offering, pursuant to a Form S-1 Registration Statement which was declared effective on September 15, 2016. The reported sale price reflects the price at which the shares were sold to the underwriters.
  4. The shares are held by the Cintawati W. Putra 2015 Grantor Retained Annuity Trust, of which the reporting person and her spouse are trustee.
  5. The shares are held by the Steven T. Kirchmeier 2015 Grantor Retained Annuity Trust, of which the reporting person and her spouse are trustee.