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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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(Amendment No. 1)*
HASHICORP, INC.
(Name of Issuer)
Class A Common Stock, $0.000015 par value per share
(Title of Class of Securities)
418100 103
(CUSIP Number)
December 31, 2022
(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).
CUSIP No. 418100 103 | Page 2 |
1 |
NAME OF REPORTING PERSON:
Mitchell Hashimoto
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY): | |||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS): (a) ☐ (b) ☐
| |||||
3 | SEC USE ONLY:
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4 | CITIZENSHIP OR PLACE OF ORGANIZATION:
United States |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER
663,332 (1) | ||||
6 | SHARED VOTING POWER
14,179,380(2) | |||||
7 | SOLE DISPOSITIVE POWER
663,332 (1) | |||||
8 | SHARED DISPOSITIVE POWER
14,179,380 (2) |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON:
14,842,712(1)(2) | |||||
10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS):
☐ | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9):
15.3%(3) | |||||
12 | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS):
IN |
(1) | Consists of 663,332 shares of Class B common stock subject to options exercisable within 60 days of December 31, 2022 held by Mitchell Hashimoto (the Reporting Person). |
(2) | Consists of (i) 13,929,380 shares of Class B common stock held of record by the 2018 Mitchell Hashimoto Separate Property Trust dated 10-30-18 for which Mr. Hashimoto serves as trustee and (ii) 250,000 shares of Class B common stock held of record by the Hashimoto Irrevocable Trust. |
(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 96,792,583 shares of Class A common stock outstanding (which reflects the sum of (x) 81,949,871 shares of Class A common stock outstanding as of December 1, 2022 and (y) 14,842,712 shares of Class A common stock issuable on conversion of the Reporting Persons Class B common stock). Based on the total of 187,968,204 shares of the Issuers common stock outstanding as of December 1, 2022 (as reported in the Issuers Form 10-Q for the quarterly period ended October 31, 2022 filed with the Securities and Exchange Commission on December 7, 2022, and including 106,018,333 shares of Class B common stock), the Reporting Person beneficially owns 7.9% of the Issuers total outstanding common stock as of December 31, 2022. |
Item 1
(a) Name of Issuer:
HashiCorp, Inc.
(b) | Address of Issuers Principal Executive Offices: |
101 Second Street, Suite 700
San Francisco, California 94105
Item 2
(a) | Names of Person Filing: |
Mitchell Hashimoto
(b) | Address or principal business office or, if none, residence: |
The address for the principal business office of Mr. Hashimoto is:
c/o HashiCorp, Inc.
101 Second Street, Suite 700
San Francisco, California 94105
(c) | Citizenship: |
United States
(d) | Title and Class of Securities: |
Class A common stock, par value $0.000015 per share.
(e) | CUSIP No.: |
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
(a) | Amount beneficially owned: 14,842,712 (1)(2) |
(b) | Percent of class: 15.3% (3) |
(c) | Number of shares as to which the person has: |
(i) | Sole power to direct the vote: 663,332 (1) |
(ii) | Shared power to direct the vote: 14,842,712 (2) |
(iii) | Sole power to dispose or to direct the disposition of: 663,332 (1) |
(iv) | Shared power to dispose or to direct the disposition of: 14,842,712 (2) |
(1) | Consists of 663,332 shares of Class B common stock subject to options exercisable within 60 days of December 31, 2022 held by the Reporting Person. |
(2) | Consists of (i) 13,929,380 shares of Class B common stock held of record by the 2018 Mitchell Hashimoto Separate Property Trust dated 10-30-18 for which Mr. Hashimoto serves as trustee and (ii) 250,000 shares of Class B common stock held of record by the Hashimoto Irrevocable Trust. |
(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 96,792,583 shares of Class A common stock outstanding (which reflects the sum of (x) 81,949,871 shares of Class A common stock outstanding as of December 1, 2022 and (y) 14,842,712 shares of Class A common stock issuable on conversion of the Reporting Persons Class B common stock). Based on the total of 187,968,204 shares of the Issuers common stock outstanding as of December 1, 2022 (as reported in the Issuers Form 10-Q for the quarterly period ended October 31, 2022 filed with the Securities and Exchange Commission on December 7, 2022, and including 106,018,333 shares of Class B common stock), the Reporting Person beneficially owns 7.9% of the Issuers total outstanding common stock as of December 31, 2022. |
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: February 14, 2023
/s/ Mitchell Hashimoto |
Mitchell Hashimoto |