SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL 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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Ansanelli Joseph

(Last) (First) (Middle)
305 MAIN STREET

(Street)
REDWOOD CITY CA 94063

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/16/2020
3. Issuer Name and Ticker or Trading Symbol
Sumo Logic, Inc. [ SUMO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 25,000(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Preferred Stock (2) (2) Common Stock 7,771,788 (2) I See footnote(3)
Series A Preferred Stock (2) (2) Common Stock 699,692 (2) I See footnote(4)
Series A Preferred Stock (2) (2) Common Stock 248,520 (2) I See footnote(5)
Series B Preferred Stock (2) (2) Common Stock 2,828,264 (2) I See footnote(3)
Series B Preferred Stock (2) (2) Common Stock 254,628 (2) I See footnote(4)
Series B Preferred Stock (2) (2) Common Stock 90,440 (2) I See footnote(5)
Series C Preferred Stock (2) (2) Common Stock 2,542,885 (2) I See footnote(3)
Series C Preferred Stock (2) (2) Common Stock 228,935 (2) I See footnote(4)
Series C Preferred Stock (2) (2) Common Stock 81,314 (2) I See footnote(5)
Series D Preferred Stock (2) (2) Common Stock 1,629,792 (2) I See footnote(3)
Series D Preferred Stock (2) (2) Common Stock 146,730 (2) I See footnote(4)
Series D Preferred Stock (2) (2) Common Stock 52,116 (2) I See footnote(5)
Series E Preferred Stock (2) (2) Common Stock 1,654,051 (2) I See footnote(3)
Series E Preferred Stock (2) (2) Common Stock 148,914 (2) I See footnote(4)
Series E Preferred Stock (2) (2) Common Stock 52,892 (2) I See footnote(5)
Series F Preferred Stock (2) (2) Common Stock 331,020 (2) I See footnote(3)
Series F Preferred Stock (2) (2) Common Stock 29,801 (2) I See footnote(4)
Series F Preferred Stock (2) (2) Common Stock 10,585 (2) I See footnote(5)
Series G Preferred Stock (2) (2) Common Stock 161,822 (2) I See footnote(3)
Series G Preferred Stock (2) (2) Common Stock 14,568 (2) I See footnote(4)
Series G Preferred Stock (2) (2) Common Stock 5,175 (2) I See footnote(5)
Explanation of Responses:
1. These shares are represented by restricted stock units ("RSUs"). Each RSU represents the Reporting Person's right to receive one share of Common Stock of the Issuer subject to the applicable vesting schedule and the Reporting Person's continued role as a service provider to the Issuer.
2. The Series A Preferred Stock, Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock, Series E Preferred Stock, Series F Preferred Stock and Series G Preferred Stock shall automatically convert into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Common Stock and has no expiration date.
3. These shares are held of record by Greylock XIII Limited Partnership ("Greylock XIII LP"). The Reporting Person disclaims beneficial ownership of the securities held by Greylock XIII LP except to the extent of any pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by the Reporting Person of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
4. These shares are held of record by Greylock XIII-A Limited Partnership ("Greylock XIII-A LP"). The Reporting Person disclaims beneficial ownership of the securities held by Greylock XIII-A LP except to the extent of any pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by the Reporting Person of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
5. These shares are held of record by Greylock XIII GP LLC ("Greylock XIII GP"). The Reporting Person disclaims beneficial ownership of the securities held by Greylock XIII GP except to the extent of any pecuniary interest therein and the inclusion of these securities in this report shall not be deemed an admission by the Reporting Person of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Remarks:
Exhibit 24 - Power of Attorney
/s/ Katherine Haar, Attorney-in-fact 09/16/2020
** 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 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).
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 Number.