Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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CUSIP No. 78489X103
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Page 1 of 5
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 1 )*
(Amendment No. 1 )*
SVMK Inc.
(Name of Issuer)
Common Stock, par value $0.00001 per share
(Title of Class of Securities)
78489X103
(CUSIP Number)
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December 31, 2019 | |
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(Date of Event Which Requires Filing of this Statement)
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_____________________
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
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Rule 13d-1(b)
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| ☐ |
Rule 13d-1(c)
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| ☒ |
Rule 13d-1(d)
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*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the disclosure 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 the 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. 78489X103
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Page 2 of 5
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1
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NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Sheryl K. Sandberg
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(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
10,323,833(1)
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6
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SHARED VOTING POWER
0
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7
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SOLE DISPOSITIVE POWER
10,323,833(1)
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8
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SHARED DISPOSITIVE POWER
0
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
10,323,833(1)
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES £
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.7%(1)
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12
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TYPE OF REPORTING PERSON
IN
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| (1) |
Consists of 10,323,833 shares held of record by the Sheryl K. Sandberg Revocable Trust dated September 3, 2004, of which Ms. Sandberg is the trustee.
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CUSIP No. 78489X103
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Page 3 of 5
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| ITEM 1(a) |
NAME OF ISSUER
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The name of the issuer is SVMK Inc. (the “Issuer”).
| ITEM 1(b) |
ADDRESS OF ISSUER’S PRINCIPAL EXECUTIVE OFFICES
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The Issuer’s principal executive offices are located at One Curiosity Way, San Mateo, California 94403.
| ITEM 2(a) |
NAME OF PERSONS FILING
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This statement is filed by Sheryl K. Sandberg.
| ITEM 2(b) |
ADDRESS OR PRINCIPAL BUSINESS OFFICE
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The address of the principal business office of Sheryl K. Sandberg is c/o SVMK Inc., One Curiosity Way, San Mateo, California 94403.
| ITEM 2(c) |
CITIZENSHIP
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Sheryl K. Sandberg is a United States citizen.
| ITEM 2(d) |
TITLE OF CLASS OF SECURITIES
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Common Stock, par value $0.00001 per share (“Common Stock”).
| ITEM 2(e) |
CUSIP NO.
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78489X103
| 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:
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Not applicable as this statement is filed pursuant to Rule 13d-1(d) under the Act.
| ITEM 4. |
OWNERSHIP
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The percentage used in this Item 4 is calculated based on 134,619,304 shares of Common Stock outstanding as of November 1, 2019, as reported by the Issuer in its Quarterly Report
on Form 10-Q for the period ended September 30, 2019.
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Amount beneficially owned: 10,323,833(1)
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Percent of class: 7.7%(1)
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Number of shares as to which the person has:
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Sole power to vote or direct the vote: 10,323,833(1)
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| (ii) |
Shared power to vote or direct the vote: 0
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Sole power to dispose or direct the disposition: 10,323,833(1)
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| (iv) |
Shared p
ower to dispose or direct the disposition: 0
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| (1) |
Consists of 10,323,833 shares held of record by the Sheryl K. Sandberg Revocable Trust dated September 3, 2004, of which Ms. Sandberg is the trustee.
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CUSIP No. 78489X103
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Page 4 of 5
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| ITEM 5. |
OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS
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Not Applicable.
| ITEM 6. |
OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON
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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
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Not Applicable.
| ITEM 8. |
IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP
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Not Applicable.
| ITEM 9. |
NOTICE OF DISSOLUTION OF GROUP
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Not Applicable.
| ITEM 10. |
CERTIFICATION
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Not Applicable.
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CUSIP No. 78489X103
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Page 5 of 5
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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.
Dated: February 6, 2020
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SHERYL K. SANDBERG
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/s/ Sheryl K. Sandberg
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Sheryl K. Sandberg
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