Sec Form 4 Filing - Wallach Matthew J @ VEEVA SYSTEMS INC - 2023-10-15

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Wallach Matthew J
2. Issuer Name and Ticker or Trading Symbol
VEEVA SYSTEMS INC [ VEEV]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O VEEVA SYSTEMS INC., 4280 HACIENDA DRIVE
3. Date of Earliest Transaction (MM/DD/YY)
10/15/2023
(Street)
PLEASANTON, CA94588
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 10/15/2023( 1 ) C 100,000 ( 2 ) A $ 0 ( 3 ) 123,735 ( 2 ) D
Class A Common Stock 10/15/2023( 1 ) C 100,000 A $ 0 ( 3 ) 100,000 I By Matt Wallach 2012 Irrevocable Trust dated October 15, 2012
Class A Common Stock 10/15/2023( 1 ) C 50,000 A $ 0 ( 3 ) 50,000 I By Matt Wallach 2012 Irrevocable Non-Grantor Trust dated October 15, 2012
Class A Common Stock 10/15/2023( 1 ) C 100,002 A $ 0 ( 3 ) 100,002 I By Matt Wallach 2013 Irrevocable Trust dated August 13, 2013
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock ( 3 ) 10/15/2023( 1 ) C 100,000 ( 4 ) ( 3 ) ( 3 ) Class A Common Stock 100,000 $ 0 0 D
Class B Common Stock ( 3 ) 10/15/2023( 1 ) C 100,000 ( 3 ) ( 3 ) Class A Common Stock 100,000 $ 0 0 I By Matt Wallach 2012 Irrevocable Trust dated October 15, 2012
Class B Common Stock ( 3 ) 10/15/2023( 1 ) C 50,000 ( 3 ) ( 3 ) Class A Common Stock 50,000 $ 0 0 I By Matt Wallach 2012 Irrevocable Non-Grantor Trust dated October 15, 2012
Class B Common Stock ( 3 ) 10/15/2023( 1 ) C 100,002 ( 3 ) ( 3 ) Class A Common Stock 100,002 $ 0 0 I By Matt Wallach 2013 Irrevocable Trust dated August 13, 2013
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Wallach Matthew J
C/O VEEVA SYSTEMS INC.
4280 HACIENDA DRIVE
PLEASANTON, CA94588
X
Signatures
/s/ Liang Dong, attorney-in-fact 10/16/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Transaction exempt from Section 16(b) of the Securities Exchange Act of 1934 (the "Act") pursuant to Rule 16b-6(b) promulgated under the Act.
( 2 )Includes 100,000 shares of Class A Common Stock held by the Reporting Person and Cristina Wallach as joint tenants with right of survivorship.
( 3 )This does not represent a sale or purchase of the Issuer's common stock; rather, it represents the automatic conversion of shares of the Issuer's Class B Common Stock into shares of the Issuer's Class A Common Stock, which automatic conversion occurred on October 15, 2023 pursuant to the terms of the Issuer's Amended and Restated Certificate of Incorporation.
( 4 )Represents 100,000 shares of Class B Common Stock held by the Reporting Person and Cristina Wallach as joint tenants with right of survivorship.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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