SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF 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*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 10/26/2021 | 3. Issuer Name and Ticker or Trading Symbol Informatica Inc. [ INFA ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A Common Stock | 83,824 | D(1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (right to buy) | (2) | 10/31/2025 | Class A Common Stock | 73,863 | 10 | D | |
Stock Option (right to buy) | (2) | 10/31/2025 | Class A Common Stock | 99,431 | 8.7 | D | |
Stock Option (right to buy) | (3) | 10/30/2027 | Class A Common Stock | 37,440 | 10 | D | |
Stock Option (right to buy) | (4) | 02/29/2028 | Class A Common Stock | 75,000 | 10 | D | |
Stock Option (right to buy) | (5) | 05/11/2030 | Class A Common Stock | 210,000 | 20 | D | |
Stock Option (right to buy) | (6) | 02/16/2031 | Class A Common Stock | 70,000 | 20 | D | |
Stock Option (right to buy) | (7) | 09/20/2031 | Class A Common Stock | 150,514 | 25.4 | D |
Explanation of Responses: |
1. Shares of Class A Common Stock are currently held through Ithaca MIV LLC. |
2. The shares subject to the option are fully vested and exercisable. |
3. The shares subject to the option vest over a period of five years, of which 11,063 shares vested on November 1, 2018 and 1/16 of the remaining shares vest on each quarterly anniversary thereafter, subject to the Reporting Person remaining in continuous service through each vesting date. |
4. The shares subject to the option vest over a period of three years, of which 25,000 shares vested on March 1, 2019 and 1/8 of the remaining shares vest on each quarterly anniversary thereafter, subject to the Reporting Person remaining in continuous service through each vesting date. |
5. The shares subject to the option vest over a period of three years, of which 52,500 shares vested on March 1, 2021 and 1/8 of the remaining shares vest on each quarterly anniversary thereafter, subject to the Reporting Person remaining in continuous service through each vesting date. |
6. The shares subject to the option vest over a period of three years, of which 17,500 shares will vest on February 1, 2022 and 1/8 of the remaining shares vest on each quarterly anniversary thereafter, subject to the Reporting Person remaining in continuous service through each vesting date. |
7. The shares subject to the option vest over a period of four years, of which 50% of the shares will vest on October 1, 2024 and the remaining 50% of the shares will vest on October 1, 2025, subject to the Reporting Person remaining in continuous service through each vesting date. |
Remarks: |
/s/ Bridget Logterman, Attorney-in-fact | 10/26/2021 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |