Form SC 13G/A - Statement of Beneficial Ownership by Certain Investors: [Amend]
14 Novembro 2024 - 7:42PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(Amendment No. 3)*
HASHICORP,
INC.
(Name of Issuer)
Class A Common Stock, $0.000015 par value per share
(Title of Class of Securities)
418100 103
(CUSIP
Number)
September 30, 2024
(Date of Event Which Requires Filing of this Statement)
Check the
appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ Rule
13d-1(b)
☐ Rule 13d-1(c)
☒ Rule 13d-1(d)
* |
The remainder of this cover page shall be filled out for a reporting persons initial filing on this form
with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. |
The information required on the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of
the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
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CUSIP No. 418100 103 |
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Page 2 |
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1 |
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NAME OF REPORTING PERSON:
Armon Dadgar
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY): |
2 |
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CHECK THE APPROPRIATE BOX IF A MEMBER OF
A GROUP (SEE INSTRUCTIONS): (a) ☐ (b) ☐
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3 |
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SEC USE ONLY:
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4 |
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CITIZENSHIP OR PLACE OF ORGANIZATION:
United States |
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NUMBER OF
SHARES BENEFICIALLY
OWNED BY EACH
REPORTING PERSON
WITH |
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5 |
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SOLE VOTING POWER
3,162,928 (1) |
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6 |
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SHARED VOTING POWER
14,442,948(2) |
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7 |
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SOLE DISPOSITIVE POWER
3,162,928 (1) |
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8 |
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SHARED DISPOSITIVE POWER
14,442,948 (2) |
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9 |
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY
EACH REPORTING PERSON: 17,605,876
(1)(2) |
10 |
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CHECK IF THE AGGREGATE AMOUNT IN ROW
(9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS): ☐ |
11 |
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN
ROW (9):
10.2%(3) |
12 |
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TYPE OF
REPORTING PERSON (SEE INSTRUCTIONS): IN |
(1) |
Consists of (i) 27,275 shares of Class A common stock and 480,916 shares of Class B common stock held
of record by Armon Dadgar (the Reporting Person); (ii) 282,617 shares of Class A common stock and 2,057,036 shares of Class B common stock held of record by The Armon Memaran-Dadgar Living Trust for which the Reporting Person
serves as trustee; and (iii) 315,084 shares of Class B common stock subject to options exercisable within 60 days of September 30, 2024. |
(2) |
Consists of (i) 1,520,000 shares of Class A common stock and 12,231,180 shares of Class B common
stock held of record by Armon Dadgar 2020 Charitable Trust and (ii) 90,440 shares of Class A common stock and 601,328 shares of Class B common stock held of record by Black Swan III, LLC which the Reporting Person controls.
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(3) |
The Percent of Class assumes conversion of all of the Reporting Persons Class B common stock
into Class A common stock, resulting in a total of 172,620,669 shares of Class A common stock outstanding (which reflects the sum of (x) 156,935,125 shares of Class A common stock outstanding as of August 23, 2024 and (y)
15,685,544 shares of Class A common stock issuable on conversion of the Reporting Persons Class B common stock). Based on the total of 202,894,373 shares of the Issuers common stock outstanding as of August 23, 2024 (as
reported in the Issuers Form 10-Q for the quarterly period ended July 31, 2024 filed with the Securities and Exchange Commission on August 29, 2024, and including 45,959,248 shares of
Class B common stock), the Reporting Person beneficially owns 8.7% of the Issuers total outstanding common stock as of September 30, 2024. |
Item 1
HashiCorp, Inc.
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(b) |
Address of Issuers Principal Executive Offices: |
101 Second Street, Suite 700
San
Francisco, California 94105
Item 2
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(a) |
Names of Person Filing: |
Armon Dadgar
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(b) |
Address or principal business office or, if none, residence: |
The address for the principal business office of Mr. Dadgar is:
c/o HashiCorp, Inc.
101 Second
Street, Suite 700
San Francisco, California 94105
United States
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(d) |
Title and Class of Securities: |
Class A common stock, par value $0.000015 per share.
418100 103
Item 3. If this statement
is filed pursuant to Rules 13d-1(b) or 13d-2(b) or (c), check whether the person filing is a:
Not applicable.
Item 4. Ownership
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(a) |
Amount beneficially owned: 17,605,876 (1)(2)
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(b) |
Percent of class: 10.2% (3)
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(c) |
Number of shares as to which the person has: |
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(i) |
Sole power to direct the vote: 3,162,928(1)
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(ii) |
Shared power to direct the vote: 14,442,948(2)
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(iii) |
Sole power to dispose or to direct the disposition of:
3,162,928(1) |
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(iv) |
Shared power to dispose or to direct the disposition of: 14,442,948(2) |
(1) |
Consists of (i) 27,275 shares of Class A common stock and 480,916 shares of Class B common stock held
of record by Reporting Person; (ii) 282,617 shares of Class A common stock and 2,057,036 shares of Class B common stock held of record by The Armon Memaran-Dadgar Living Trust for which the Reporting Person serves as trustee; and (iii)
315,084 shares of Class B common stock subject to options exercisable within 60 days of September 30, 2024. |
(2) |
Consists of (i) 1,520,000 shares of Class A common stock and 12,231,180 shares of Class B common
stock held of record by Armon Dadgar 2020 Charitable Trust and (ii) 90,440 shares of Class A common stock and 601,328 shares of Class B common stock held of record by Black Swan III, LLC which the Reporting Person controls.
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(3) |
The Percent of Class assumes conversion of all of the Reporting Persons Class B common stock
into Class A common stock, resulting in a total of 172,620,669 shares of Class A common stock outstanding (which reflects the sum of (x) 156,935,125 shares of Class A common stock outstanding as of August 23, 2024 and (y)
15,685,544 shares of Class A common stock issuable on conversion of the Reporting Persons Class B common stock). Based on the total of 202,894,373 shares of the Issuers common stock outstanding as of August 23, 2024 (as
reported in the Issuers Form 10-Q for the quarterly period ended July 31, 2024 filed with the Securities and Exchange Commission on August 29, 2024, and including 45,959,248 shares of
Class B common stock), the Reporting Person beneficially owns 8.7% of the Issuers total outstanding common stock as of September 30, 2024. |
Item 5. Ownership of Five Percent or Less of a Class
Not applicable.
Item 6. Ownership of
More than 5 Percent on Behalf of Another Person
Not applicable.
Item 7. Identification and Classification of the Subsidiary which Acquired the Security Being Reported on by the Parent Holding Company or Control
Person.
Not applicable.
Item 8. Identification and Classification of Members of the Group
Not applicable.
Item 9. Notice of
Dissolution of Group
Not applicable.
Item 10. Certifications
Not
applicable.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true,
complete and correct.
Date: November 14, 2024
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/s/ Armon Dadgar |
Armon Dadgar |
HashiCorp (NASDAQ:HCP)
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