Couchbase : Statement of Changes in Beneficial Ownership (Form 4)
06/27/2022 | 05:15pm EDT
Ownership Submission
FORM 4
Check this box if no longer subject to Section 16, Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549STATEMENT 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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1. Name and Address of Reporting Person *
Owen Huw
2. Issuer Name and Ticker or Trading Symbol
Couchbase, Inc. [BASE]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
SVP & Chief Revenue Officer /
(Last)
(First)
(Middle)
C/O COUCHBASE, INC. , 3250 OLCOTT STREET
3. Date of Earliest Transaction (Month/Day/Year)
(Street)
SANTA CLARA
CA
95054
4. If Amendment, Date Original Filed(Month/Day/Year)
6. Individual or Join/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City)
(State)
(Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
2. Transaction Date (Month/Day/Year)
2A. Deemed Execution Date, if any (Month/Day/Year)
3. Transaction Code
4. Securities Acquired (A) or Disposed of (D)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
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
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
6. Date Exercisable and Expiration Date
7. Title and Amount of Securities Underlying Derivative Security
8. Price of Derivative Security
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
11. Nature of Indirect Beneficial Ownership
Code
V
(A)
(D)
Date Exercisable
Expriation Date
Title
Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address
Relationships
Director
10% Owner
Officer
Other
Owen Huw
C/O COUCHBASE, INC.
3250 OLCOTT STREET
SANTA CLARA, CA95054
SVP & Chief Revenue Officer
Signatures
/s/ Margaret Chow, by Power of Attorney for Huw Owen
2022-06-27
**Signature of Reporting Person
Date
Explanation of Responses:
(*)
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)
Consists of restricted stock units ("RSUs"). 6.25% of the RSUs will vest on each quarterly vesting date that occurs after June 15, 2022. Quarterly vesting dates will fall on the first trading day on or after March 15th, June 15th, September 15th and December 15th.
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure.Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
Couchbase Inc. published this content on 27 June 2022 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 27 June 2022 21:14:02 UTC.