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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) | $ 27.84 | 12/31/2014 | A(2) | 16,591 | (3) | 12/31/2024 | Common Stock | 16,591 | $ 0 | 16,591 | D | ||||
Employee Stock Option (Right to Buy) | $ 12 | (4) | 06/17/2023 | Common Stock | 37,500 | 37,500 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Samuelson Lawrence 1765 GREENSBORO STATION PLACE TYSONS CORNER, VA 22102 |
General Counsel, Corp. Secy. |
/s/ Lawrence Samuelson | 01/05/2015 | |
**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) | On December 31, 2014, the reporting person was granted restricted stock units worth US $219,000.00. Each restricted stock unit represents a contingent right to receive one share of Cvent Common Stock. The restricted stock units will vest upon the following schedule: 50% on March 15, 2017; 25% on March 15, 2018; and the remaining 25% on March 15, 2019. |
(2) | On December 31, 2014, the reporting person was granted employee stock options representing a contingent right to purchase 16,591 shares of Cvent Common Stock. |
(3) | The shares subject to this option will become exercisable upon the following schedule: 50% on March 15, 2017; 25% on March 15, 2018; and the remaining 25% on March 15, 2019. |
(4) | 28,125 of the shares subject to this option will become exercisable on June 3, 2016 and 9,375 of the shares will become exercisable on June 3, 2017. |
Remarks: General Counsel and Corporate Secretary |