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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, Section 17(a) of the Public Utility Holding Company Act of 1935 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) | ||
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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 | ||||||||
| Reporting Owner Name / Address | Relationships | |||
| Director | 10% Owner | Officer | Other | |
| Tejada Jennifer C/O PAGERDUTY, INC. 600 TOWNSEND ST., STE. 200 SAN FRANCISCO, CA 94103 |
X | Chief Executive Officer | ||
| /s/ Shelley Webb, as Attorney-in-Fact, for Jennifer Tejada | 07/05/2024 | |
| **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) | Represents shares automatically withheld by the Issuer to satisfy a tax obligation realized by the reporting person upon the vesting and settlement of restricted stock units. |
| (2) | A portion of these shares represent restricted stock units. |
| (3) | Represents a transfer to the Langford Island Trust, as the sole and separate property of Jennifer Gail Tejada. |
| (4) | Represents a transfer to the Langford Island Trust, as the sole and separate property of Michael Charles Firmin. |
| (5) | Represents 13,426 shares transferred to the Langford Island Trust, as the sole and separate property of Jennifer Gail Tejada and 13,426 shares transferred to the Langford Island Trust, as the sole and separate property of Michael Charles Firmin. |
| (6) | Represents shares indirectly beneficially owned by the Reporting Person through the Langford Island Trust that were transferred to the Tejada 2024 Grantor Retained Annuity Trust I in which the Reporting Person is a trustee. |
| (7) | Represents shares indirectly beneficially owned by the Reporting Person through the Langford Island Trust that were transferred to the Tejada 2024 Grantor Retained Annuity Trust II in which the Reporting Person is a trustee. |