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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 | ||||||||
Stock Option (right to buy) | $ 60 | 01/10/2018 | A | 2,128,975 | (1) | 01/09/2028 | Class A Common Stock | 2,128,975 | $ 0 | 2,128,975 | D | ||||
Stock Option (right to buy) | $ 60 | 01/10/2018 | A | 177,415 | (2)(3) | 01/09/2028 | Class A Common Stock | 177,415 | $ 0 | 2,306,390 | D | ||||
Stock Option (right to buy) | $ 60 | 01/10/2018 | A | 177,415 | (2)(4) | 01/09/2028 | Class A Common Stock | 177,415 | $ 0 | 2,483,805 | D | ||||
Stock Option (right to buy) | $ 60 | 01/10/2018 | A | 177,415 | (2)(5) | 01/09/2028 | Class A Common Stock | 177,415 | $ 0 | 2,661,220 | D | ||||
Stock Option (right to buy) | $ 60 | 01/10/2018 | A | 177,415 | (2)(6) | 01/09/2028 | Class A Common Stock | 177,415 | $ 0 | 2,838,635 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Gassner Peter P C/O VEEVA SYSTEMS INC. 4280 HACIENDA DRIVE PLEASANTON, CA 94588 |
X | X | Chief Executive Officer |
/s/ Meaghan S. Nelson, attorney-in-fact | 01/12/2018 | |
**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) | The option vests and becomes exercisable in 60 equal installments between February 1, 2020 and February 1, 2025, subject to the reporting person's continued service as the Issuer's Chief Executive Officer. |
(2) | Each option is subject to the same service-based vesting schedule described in Footnote 1 above and is additionally subject to a stock price appreciation target which must be sustained for at least 60 consecutive trading days. Each option becomes vested and exercisable only once the service-based vesting condition is satisfied and the applicable stock price appreciation target is achieved. |
(3) | The applicable stock price appreciation target is $90/share. |
(4) | The applicable stock price appreciation target is $100/share. |
(5) | The applicable stock price appreciation target is $110/share. |
(6) | The applicable stock price appreciation target is $120/share. |