Sec Form 3 Filing - UV PARTNERS IV LP @ Cloudflare, Inc. - 2019-09-12

Insider filing report for Changes in Beneficial Ownership
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FORM 3
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
UV PARTNERS IV LP
2. Issuer Name and Ticker or Trading Symbol
Cloudflare, Inc. [ NET]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O PELION VENTURES, 2750 E COTTONWOOD PARKWAY, SUITE 600
3. Date of Earliest Transaction (MM/DD/YY)
09/12/2019
(Street)
SALT LAKE CITY, UT84121
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ 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
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
Series A Convertible Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class B Common Stock ( 2 ) 9,808,604 I See footnote ( 3 )
Series B Convertible Preferred Stock ( 4 ) ( 4 ) ( 4 ) Class B Common Stock ( 2 ) 8,321,250 I See footnote ( 3 )
Series C Convertible Preferred Stock ( 5 ) ( 5 ) ( 5 ) Class B Common Stock ( 2 ) 1,774,260 I See footnote ( 3 )
Series A Convertible Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class B Common Stock ( 2 ) 3,183,223 I See footnote ( 6 )
Series B Convertible Preferred Stock ( 4 ) ( 4 ) ( 4 ) Class B Common Stock ( 2 ) 2,700,500 I See footnote ( 6 )
Series C Convertible Preferred Stock ( 5 ) ( 5 ) ( 5 ) Class B Common Stock ( 2 ) 575,800 I See footnote ( 6 )
Series A Convertible Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class B Common Stock ( 2 ) 6,046,577 I See footnote ( 7 )
Series B Convertible Preferred Stock ( 4 ) ( 4 ) ( 4 ) Class B Common Stock ( 2 ) 5,129,650 I See footnote ( 7 )
Series C Convertible Preferred Stock ( 5 ) ( 5 ) ( 5 ) Class B Common Stock ( 2 ) 1,093,750 I See footnote ( 7 )
Series D Convertible Preferred Stock ( 8 ) ( 8 ) ( 8 ) Class A Common Stock 2,954,546 I See footnote ( 9 )
Class B Common Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 622,265 I See footnote ( 9 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
UV PARTNERS IV LP
C/O PELION VENTURES
2750 E COTTONWOOD PARKWAY, SUITE 600
SALT LAKE CITY, UT84121
X
UV PARTNERS IV-A LP
C/O PELION VENTURES
2750 E COTTONWOOD PARKWAY, SUITE 600
SALT LAKE CITY, UT84121
X
UV PARTNERS IV FINANCIAL INSTITUTIONS FUND LP
C/O PELION VENTURES
2750 E COTTONWOOD PARKWAY, SUITE 600
SALT LAKE CITY, UT84121
X
UV Partners IV GP, L.L.C.
C/O PELION VENTURES
2750 E COTTONWOOD PARKWAY, SUITE 600
SALT LAKE CITY, UT84121
X
UV Partners IV Financial Institutions GP, L.L.C.
C/O PELION VENTURES
2750 E COTTONWOOD PARKWAY, SUITE 600
SALT LAKE CITY, UT84121
X
Pelion Opportunity Fund I, LLC
C/O PELION VENTURES
2750 E COTTONWOOD PARKWAY, SUITE 600
SALT LAKE CITY, UT84121
X
Pelion Opportunities Partners I, L.L.C
C/O PELION VENTURES
2750 E COTTONWOOD PARKWAY, SUITE 600
SALT LAKE CITY, UT84121
X
Modersitzki Blake G
C/O PELION VENTURES
2750 E COTTONWOOD PARKWAY, SUITE 600
SALT LAKE CITY, UT84121
X
Signatures
/s/ Blake Modersitzki, the Manager Member of UV Partners IV GP, L.L.C., the General Partner of UV Partners IV, L.P. 09/12/2019
Signature of Reporting Person Date
/s/ Blake Modersitzki, the Manager Member of UV Partners IV GP, LLC, the General Partner of UV Partners IV-A, L.P. 09/12/2019
Signature of Reporting Person Date
/s/ Blake Modersitzki, the Manager Member of UV Partners IV Financial Institutions GP, L.L.C., the General Partner of UV Partners IV Financial Institutions Fund, L.P. 09/12/2019
Signature of Reporting Person Date
/s/ Blake Modersitzki, the Manager Member of UV Partners IV GP, L.L.C. 09/12/2019
Signature of Reporting Person Date
/s/ Blake Modersitzki, the Manager Member of UV Partners IV Financial Institutions GP, L.L.C. 09/12/2019
Signature of Reporting Person Date
/s/ Blake Modersitzki, the Manager Member of Pelion Opportunities Partners I, L.L.C., the Manager of Pelion Opportunity Fund I, LLC 09/12/2019
Signature of Reporting Person Date
/s/ Blake Modersitzki, the Manager Member of Pelion Opportunities Partners I, L.L.C. 09/12/2019
Signature of Reporting Person Date
/s/ Blake Modersitzki 09/12/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each share of Series A Convertible Preferred Stock shall automatically convert into Class B Common Stock on a one-to-one basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock and has no expiration date.
( 2 )Each share of Class B Common Stock is convertible at any time into Class A Common Stock on a one-to-one basis at the reporting person's election and has no expiration date.
( 3 )The shares are held of record by UV Partners IV, L.P. (UVP IV). UV Partners IV GP, L.L.C. (UVP IV GP) is the General Partner of UVP IV, and Blake Modersitzki is the Manager Member of UVP IV GP. Carl Ledbetter, a director of the Issuer, serves as a Special Advisor to an affiliate of UVP IV GP. Each of Mr. Modersitzki and Dr. Ledbetter share voting and dispositive power with respect to the shares held of record by UVP IV, but disclaims beneficial ownership of the securities held by of record by UVP IV except to the extent of his individual pecuniary interest therein.
( 4 )Each share of Series B Convertible Preferred Stock shall automatically convert into Class B Common Stock on a one-to-one basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock and has no expiration date.
( 5 )Each share of Series C Convertible Preferred Stock shall automatically convert into Class B Common Stock on a one-to-one basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock and has no expiration date.
( 6 )The shares are held of record by UV Partners IV-A, L.P. (UVP IV-A). UVP IV GP is the General Partner of UVP IV-A, and Blake Modersitzki is the Manager Member of UVP IV GP. Dr. Ledbetter, a director of the Issuer, serves as a Special Advisor to an affiliate of UVP IV GP. Each of Mr. Modersitzki and Dr. Ledbetter share voting and dispositive power with respect to the shares held of record by UVP IV-A, but each disclaims beneficial ownership of the securities held of record by UVP IV-A except to the extent of his individual pecuniary interest therein.
( 7 )The shares are held of record by UV Partners IV Financial Institutions Fund, L.P. (UVP IV Financial). UV Partners IV Financial Institutions GP, L.L.C. (UVP IV Financial GP) is the General Partner of UVP IV Financial, and Blake Modersitzki is the Manager Member of UVP IV Financial GP. Dr. Ledbetter, a director of the Issuer, serves as a Special Advisor to an affiliate of UVP IV Financial GP. Each of Mr. Modersitzki and Dr. Ledbetter share voting and dispositive power with respect to the shares held of record by UVP IV Financial, but disclaims beneficial ownership of the securities held of record by UVP IV Financial except to the extent of his individual pecuniary interest therein.
( 8 )Each share of Series D Convertible Preferred Stock shall automatically convert into Class A Common Stock on a one-to-one basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock and has no expiration date.
( 9 )The shares are held of record by Pelion Opportunity Fund I, LLC (POF I). Pelion Opportunities Partners I, L.L.C. (POP I) is the Manager of POF I, and Blake Modersitzki is the Manager Member of POP I. Dr. Ledbetter, a director of the Issuer, serves as a Special Advisor to an affiliate of POP I. Each of Mr. Modersitzki and Dr. Ledbetter share voting and dispositive power with respect to the shares held of record by POF I, but disclaims beneficial ownership of the securities held by of record by POF I except to the extent of his individual pecuniary interest therein.

Remarks:
This report is one of three reports, each on a separate Form 3, but relating to the same transaction being filed by entities affiliated with Pelion Ventures and their applicable members.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** 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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