CUSIP No. 64829B 100 |
1. | Names of Reporting Persons Lewis Cirne | |||
2. | Check the Appropriate Box if a Member of a Group (see instructions) | |||
(a) ¨ | ||||
(b) ¨ | ||||
3. | SEC USE ONLY | |||
4. | Citizenship or Place of Organization United States | |||
Number of Shares Beneficially Owned by Each Reporting Person With: | 5. | Sole Voting Power 715,710(1) | ||
6. | Shared Voting Power 8,381,756 shares(2) | |||
7. | Sole Dispositive Power 715,710(1) | |||
8. | Shared Dispositive Power 8,381,756 shares(2) | |||
9. | Aggregate Amount Beneficially Owned by Each Reporting Person 9,097,466 shares(1)(2) | |||
10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares (see instructions) ¨ | |||
11. | Percent of Class Represented by Amount in Row 9 15.7%(3) | |||
12. | Type of Reporting Person (see instructions) IN |
(1) | Includes 715,710 shares of Common Stock issuable pursuant to stock options exercisable within 60 days of December 31, 2018. |
(2) | Includes 6,621,756 shares of Issuer’s Common Stock held by Lewis Cirne and Kirsten L. Vliet, as Trustees of the Cirne Family Revocable Trust UAD March 20, 2012 (the “Family Trust”) and 1,760,000 shares of Issuer’s Common Stock held by Beloved In Christ Foundation (the “Foundation”). Reporting Person exercises shared voting and dispositive power over the shares held by each of The Family Trust and the Foundation. |
(3) | Based on 57,275,141 shares of Common Stock outstanding on December 31, 2018. Assumes the exercise of Reporting Person’s options exercisable as of or within 60 days of December 31, 2018. |
CUSIP No. 64829B 100 |
1. | Names of Reporting Persons Beloved In Christ Foundation | |||
2. | Check the Appropriate Box if a Member of a Group (see instructions) | |||
(a) ¨ | ||||
(b) ¨ | ||||
3. | SEC USE ONLY | |||
4. | Citizenship or Place of Organization United States | |||
Number of Shares Beneficially Owned by Each Reporting Person With: | 5. | Sole Voting Power Not applicable. | ||
6. | Shared Voting Power 1,760,000 shares | |||
7. | Sole Dispositive Power Not applicable. | |||
8. | Shared Dispositive Power 1,760,000 shares | |||
9. | Aggregate Amount Beneficially Owned by Each Reporting Person 1,760,000 shares | |||
10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares (see instructions) ¨ | |||
11. | Percent of Class Represented by Amount in Row 9 3.1%(1) | |||
12. | Type of Reporting Person (see instructions) CO |
(1) | Based on 57,275,141 shares of Common Stock outstanding on December 31, 2018. |
CUSIP No. 64829B 100 |
1. | Names of Reporting Persons Lewis Cirne and Kirsten L. Vliet, as Trustees of the Cirne Family Revocable Trust UAD March 20, 2012 | |||
2. | Check the Appropriate Box if a Member of a Group (see instructions) | |||
(a) ¨ | ||||
(b) ¨ | ||||
3. | SEC USE ONLY | |||
4. | Citizenship or Place of Organization United States | |||
Number of Shares Beneficially Owned by Each Reporting Person With: | 5. | Sole Voting Power Not applicable. | ||
6. | Shared Voting Power 6,621,756 shares | |||
7. | Sole Dispositive Power Not applicable. | |||
8. | Shared Dispositive Power 6,621,756 shares | |||
9. | Aggregate Amount Beneficially Owned by Each Reporting Person 6,621,756 shares | |||
10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares (see instructions) ¨ | |||
11. | Percent of Class Represented by Amount in Row 9 11.6%(1) | |||
12. | Type of Reporting Person (see instructions) OO |
(1) | Based on 57,275,141 shares of Common Stock outstanding on December 31, 2018. |
Item 1(a). | Name of Issuer: New Relic, Inc. |
Item 1(b). | Address of Issuer’s Principal Executive Offices: 188 Spear Street, Ste. 1200, San Francisco, CA 94105 |
Item 2(a). | Name of Person Filing: Lewis Cirne Beloved In Christ Foundation (the “Foundation”) Lewis Cirne and Kirsten L. Vliet, as Trustees of the Cirne Family Revocable Trust UAD March 20, 2012 (the “Family Trust”) |
Item 2(b). | Address of Principal Business Office or, if none, Residence: The address and principal business office of the Reporting Person is: c/o New Relic, Inc. 188 Spear Street, Ste. 1200 San Francisco, CA 94105 |
Item 2(c). | Citizenship: Lewis Cirne – U.S. citizen Foundation – California Family Trust – California |
Item 2(d). | Title of Class of Securities: Common Stock |
Item 2(e). | CUSIP Number: 64829B 100 |
Item 3. | If this statement is filed pursuant to §§240.13d-1(b), or 240.13d-2(b) or (c), check whether the person filing is a: |
(a) | ☐ Broker or dealer registered under Section 15 of the Act (15 U.S.C. 78o); |
(b) | ☐ Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c); |
(c) | ☐ Insurance company as defined in section 3(a)19) of the Act (15 U.S.C. 78c); |
(d) | ☐ Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); |
(e) | ☐ An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E); |
(f) | ☐ An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F); |
(g) | ☐ A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G); |
(h) | ☐ A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); |
(i) | ☐ A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); |
(j) | ☐ A non-U.S. institution in accordance with §240.13d–1(b)(1)(ii)(J); |
(k) | ☐ Group, in accordance with §240.13d–1(b)(1)(ii)(K). |
If filing as a non-U.S. institution in accordance with §240.13d–1(b)(1)(ii)(J), please specify the type of institution: ____ |
Item 4. | Ownership |
(a) | Amount Beneficially Owned: |
(b) | Percent of Class: |
(c) | Number of shares as to which the person has: |
(i) | Sole power to vote or to direct the vote: |
(ii) | Shared power to vote or to direct the vote: |
(iii) | Sole power to dispose or to direct the disposition of: |
(iv) | Shared power to dispose or to direct the disposition of: |
Item 5. | Ownership of 5 Percent or Less of a Class |
Item 6. | Ownership of More than 5 Percent on Behalf of Another Person |
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person. |
Item 8. | Identification and Classification of Members of the Group |
(1) | Includes (i) 715,710 shares of Common Stock issuable pursuant to stock options exercisable within 60 days of December 31, 2018, (ii) 6,621,756 shares of Issuer’s Common Stock held by the Family Trust and (iii) 1,760,000 shares of Issuer’s Common Stock held by the Foundation. Reporting Person exercises shared voting and dispositive power over the shares held by each of the Family Trust and the Foundation. |
(2) | Includes (i) 6,621,756 shares of Issuer’s Common Stock held by the Family Trust and (ii) 1,760,000 shares of Issuer’s Common Stock held by the Foundation. Reporting Person exercises shared voting and dispositive power over the shares held by each of the Family Trust and the Foundation. |
(3) | Based on 57,275,141 shares of Common Stock outstanding on December 31, 2018. Assumes the exercise of Reporting Person’s options exercisable as of or within 60 days of December 31, 2018. |
(4) | Based on 57,275,141 shares of Common Stock outstanding on December 31, 2018. |
Item 9. | Notice of Dissolution of a Group |
Item 10. | Certification |
February 11, 2019 | |||
Date | |||
/s/ Lewis Cirne | |||
Lewis Cirne | |||
Individually, as Trustee of the Cirne Family Revocable Trust and as Chief Financial Officer of Beloved In Christ Foundation |
/s/ Lewis Cirne |
Lewis Cirne |
BELOVED IN CHRIST FOUNDATION |
/s/ Lewis Cirne |
Lewis Cirne, Chief Financial Officer |
LEWIS CIRNE AND KIRSTEN L. VLIET, AS TRUSTEES OF THE CIRNE FAMILY REVOCABLE TRUST UAD MARCH 20, 2012 |
/s/ Lewis Cirne |
Lewis Cirne, Trustee |