1. Name and Address of Reporting Person* 3000 SAND HILL ROAD | BUILDING 4, SUITE 230 | (Street) | 2. Date of Event Requiring Statement (Month/Day/Year) 12/08/2021 | 3. Issuer Name and Ticker or Trading Symbol HashiCorp, Inc. [ HCP ] |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable) | Director | X | 10% Owner | | Officer (give title below) | | Other (specify below) | | | 5. If Amendment, Date of Original Filed (Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line) | Form filed by One Reporting Person | X | Form filed by More than One Reporting Person | |
1. Name and Address of Reporting Person* 3000 SAND HILL ROAD | BUILDING 4, SUITE 230 | (Street) |
1. Name and Address of Reporting Person*GGV Capital Select L.L.C. | 3000 SAND HILL ROAD | BUILDING 4, SUITE 230 | (Street) |
1. Name and Address of Reporting Person* 3000 SAND HILL ROAD | BUILDING 4, SUITE 230 | (Street) |
1. Name and Address of Reporting Person* 3000 SAND HILL ROAD | BUILDING 4, SUITE 230 | (Street) |
1. Name and Address of Reporting Person*GGV Capital V Entrepreneurs Fund L.P. | 3000 SAND HILL ROAD | BUILDING 4, SUITE 230 | (Street) |
1. Name and Address of Reporting Person*GGV Capital VII Plus L.L.C. | 3000 SAND HILL ROAD | BUILDING 4, SUITE 230 | (Street) |
1. Name and Address of Reporting Person*GGV VII Plus Investments, L.L.C. | 3000 SAND HILL ROAD | BUILDING 4, SUITE 230 | (Street) |
1. Name and Address of Reporting Person* 3000 SAND HILL ROAD | BUILDING 4, SUITE 230 | (Street) |
1. Name and Address of Reporting Person*GGV VII Investments, L.L.C. | 3000 SAND HILL ROAD | BUILDING 4, SUITE 230 | (Street) |
| GGV Capital Select L.L.C., by /s/ Glenn Solomon, Managing Director | 12/08/2021 |
| GGV Capital Select L.P., by GGV Capital Select L.L.C., its General Partner, by /s/ Glenn Solomon, Managing Director | 12/08/2021 |
| GGV Capital V L.L.C., by /s/ Glenn Solomon, Managing Director | 12/08/2021 |
| GGV Capital V L.P., by GGV Capital V L.L.C., its General Partner, by /s/ Glenn Solomon, Managing Director | 12/08/2021 |
| GGV Capital V Entrepreneurs Fund L.P., by GGV Capital V L.L.C., its General Partner, by /s/ Glenn Solomon, Managing Director | 12/08/2021 |
| GGV Capital VII Plus L.L.C., by /s/ Glenn Solomon, Managing Director | 12/08/2021 |
| GGV VII Plus Investments, L.L.C., by GGV Capital VII Plus L.L.C., its Manager, by /s/ Glenn Solomon, Managing Director | 12/08/2021 |
| GGV Capital VII L.L.C., by /s/ Glenn Solomon, Managing Director | 12/08/2021 |
| GGV VII Investments, L.L.C., by GGV Capital VII L.L.C., its Manager, by /s/ Glenn Solomon, Managing Director | 12/08/2021 |
| ** 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. |