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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, 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) |
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 | ||||||||
Employee Stock Option (Right to Buy) | $ 1.8 | 11/22/2016 | M | 85,606 | (6) | 03/11/2021 | Common Stock | 30,053 | $ 0 | 30,053 | D | ||||
Employee Stock Option (Right to Buy) | $ 27.84 | (7) | 12/31/2024 | Common Stock | 46,189 | 46,189 | D | ||||||||
Employee Stock Option (Right to Buy) | $ 32.43 | (8) | 10/15/2025 | Common Stock | 15,973 | 15,973 | D | ||||||||
Employee Stock Option (Right to Buy) | $ 21.73 | (9) | 04/06/2026 | Common Stock | 26,907 (10) | 26,907 (10) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Sye Dwayne J. C/O CVENT INC 1765 GREENSBORO STATION PLACE,7TH FLOOR TYSONS CORNER, VA 22102 |
Chief Information Officer |
/s/ Lawrence Samuelson, Attorney-in-Fact | 11/25/2016 | |
**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) | These shares were transferred via a bona fide gift transaction by the Dwayne Jerry Sye Grantor Retained Annuity Trust (2013) to the Reporting Person, for which the Dwayne Jerry Sye Grantor Retained Annuity Trust (2013) did not receive any value or consideration. |
(2) | The shares are held directly by Dwayne Jerry Sye Grantor Retained Annuity Trust (2013), for which the Reporting Person serves as trustee. |
(3) | These shares were transferred via a bona fide gift transaction by the Dwayne Jerry Sye Grantor Retained Annuity Trust (2013) to Tait Sye, for which the Dwayne Jerry Sye Grantor Retained Annuity Trust (2013) did not receive any value or consideration. |
(4) | These shares were transferred via a bona fide gift transaction by the Dwayne Jerry Sye Grantor Retained Annuity Trust (2013) to Moozen Sye, for which the Dwayne Jerry Sye Grantor Retained Annuity Trust (2013) did not receive any value or consideration. |
(5) | These shares were transferred via a bona fide gift transaction by the Dwayne Jerry Sye Grantor Retained Annuity Trust (2013) to Yea Yuan Sye, for which the Dwayne Jerry Sye Grantor Retained Annuity Trust (2013) did not receive any value or consideration. |
(6) | All of the shares subject to this option are currently exercisable. |
(7) | One-quarter of the shares subject to this option are currently exercisable. The remaining shares will become exercisable in three equal annual installments on March 15 in each if 2017, 2018 and 2019. |
(8) | One-half of the shares subject to this option are currently exercisable. The remaining shares will become exercisable on September 15, 2017. |
(9) | The shares subject to this option will vest in four equal installments beginning on March 1, 2017. |
(10) | Due to a clerical error, the original Form 4 dated April 6, 2016 overstated the number of derivative securities beneficially owned following the reported transaction by 26,907. This Form 4 corrects the clerical error. |