Statement of Changes in Beneficial Ownership (4)
25 Novembro 2016 - 8:10PM
Edgar (US Regulatory)
FORM 4
[
X
]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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
*
Ghoorah Charles V.
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2. Issuer Name
and
Ticker or Trading Symbol
CVENT INC
[
CVT
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
President of Sales & Marketing
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(Last)
(First)
(Middle)
C/O CVENT INC, 1765 GREENSBORO STATION PLACE,7TH FLOOR
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3. Date of Earliest Transaction
(MM/DD/YYYY)
7/14/2016
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(Street)
TYSONS CORNER, VA 22102
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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7/14/2016
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G
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V
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14000
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D
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$0.00
(1)
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113500
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I
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See Footnote
(2)
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Common Stock
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11/22/2016
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M
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135990
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A
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$1.80
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215784
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D
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Common Stock
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905375
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I
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See Footnote
(3)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Employee Stock Option (Right to Buy)
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$1.80
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11/22/2016
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M
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135990
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(4)
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3/11/2021
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Common Stock
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37381
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$0.00
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37381
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D
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Employee Stock Option (Right to Buy)
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$27.84
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(5)
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12/31/2024
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Common Stock
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76982
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76982
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D
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Employee Stock Option (Right to Buy)
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$32.43
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(6)
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10/15/2025
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Common Stock
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26622
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26622
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D
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Employee Stock Option (Right to Buy)
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$21.73
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(7)
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4/6/2026
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Common Stock
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88794
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88794
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D
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Explanation of Responses:
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(
1)
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These shares were transferred to the Morgan Stanley Global Impact Finding Trust via a bona fide gift transaction, for which the Charles V. Ghoorah Irrevocable Trust (2013) did not receive any value or consideration.
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(
2)
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The shares were held directly by Charles V. Ghoorah Irrevocable Trust (2013), for which the Reporting Person serves as trustee. The Reporting Person disclaims beneficial ownership of the shares held by said Trust, and this report should not be deemed an admission that the Reporting Person is the beneficial owner of said Trust's shares for purposes of Section 16 or for any other purpose.
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(
3)
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The shares were held directly by the Charles Vijendra Ghoorah Irrevocable Trust (2013), for which the Reporting Person serves as trustee.
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(
4)
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All of the shares subject to this option are currently exercisable.
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(
5)
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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.
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(
6)
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One-half of the shares subject to this option are currently exercisable. The remaining shares will become exercisable on September 15, 2017.
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(
7)
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The shares subject to this option will vest in four equal installments beginning on March 1, 2017.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Ghoorah Charles V.
C/O CVENT INC
1765 GREENSBORO STATION PLACE,7TH FLOOR
TYSONS CORNER, VA 22102
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President of Sales & Marketing
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Signatures
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/s/ Lawrence Samuelson, Attorney-in-Fact
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11/25/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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