Sec Form 3 Filing - Botteri Philippe @ UiPath, Inc. - 2021-04-20

Insider filing report for Changes in Beneficial Ownership
"Insiders might sell their shares for any number of reasons, but they buy them for only one: they think the price will rise"
- Peter Lynch
What is insider trading>>
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
OMB APPROVAL
OMB Number: 3235-0287
Expires: November 30, 2011
Estimated average burden hours per response... 0.5
1. Name and Address of Reporting Person
Botteri Philippe
2. Issuer Name and Ticker or Trading Symbol
UiPath, Inc. [ PATH]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O UIPATH, INC., 90 PARK AVE, 20TH FL
3. Date of Earliest Transaction (MM/DD/YY)
04/20/2021
(Street)
NEW YORK, NY10016
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 16,057 ( 1 ) D
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-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 58,774,710 I By Accel London V L.P. ( 3 )
Series B-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 2,570,880 I By Accel London V L.P. ( 3 )
Series B-2 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 762,570 I By Accel London V L.P. ( 3 )
Series E Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 24,186 I By Accel London V L.P. ( 3 )
Series A-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 895,290 I By Accel London V Strategic Partners L.P. ( 3 )
Series B-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 39,150 I By Accel London V Strategic Partners L.P. ( 3 )
Series B-2 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 11,610 I By Accel London V Strategic Partners L.P. ( 3 )
Series E Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 368 I By Accel London V Strategic Partners L.P. ( 3 )
Series A-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 5,678,790 I By Accel London Investors 2016 L.P. ( 4 )
Series B-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 248,400 I By Accel London Investors 2016 L.P. ( 4 )
Series B-2 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 73,680 I By Accel London Investors 2016 L.P. ( 4 )
Series E Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 2,337 I By Accel London Investors 2016 L.P. ( 4 )
Series B-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 20,642,310 I By Accel Growth Fund IV L.P. ( 5 )
Series B-2 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 6,122,730 I By Accel Growth Fund IV L.P. ( 5 )
Series C-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 827,211 I By Accel Growth Fund IV L.P. ( 5 )
Series C-2 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 660,711 I By Accel Growth Fund IV L.P. ( 5 )
Series D-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 185,880 I By Accel Growth Fund IV L.P. ( 5 )
Series D-2 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 31,212 I By Accel Growth Fund IV L.P. ( 5 )
Series B-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 117,450 I By Accel Growth Fund IV Strategic Partners L.P. ( 5 )
Series B-2 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 34,830 I By Accel Growth Fund IV Strategic Partners L.P. ( 5 )
Series C-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 4,707 I By Accel Growth Fund IV Strategic Partners L.P. ( 5 )
Series C-2 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 3,759 I By Accel Growth Fund IV Strategic Partners L.P. ( 5 )
Series D-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 1,056 I By Accel Growth Fund IV Strategic Partners L.P. ( 5 )
Series D-2 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 177 I By Accel Growth Fund IV Strategic Partners L.P. ( 5 )
Series B-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 987,330 I By Accel Growth Fund Investors 2016 L.L.C. ( 6 )
Series B-2 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 292,860 I By Accel Growth Fund Investors 2016 L.L.C. ( 6 )
Series C-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 39,564 I By Accel Growth Fund Investors 2016 L.L.C. ( 6 )
Series C-2 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 31,602 I By Accel Growth Fund Investors 2016 L.L.C. ( 6 )
Series D-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 8,889 I By Accel Growth Fund Investors 2016 L.L.C. ( 6 )
Series D-2 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Class A Common Stock 1,494 I By Accel Growth Fund Investors 2016 L.L.C. ( 6 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Botteri Philippe
C/O UIPATH, INC., 90 PARK AVE, 20TH FL
NEW YORK, NY10016
X X
Signatures
/s/ Brad Brubaker, Attorney-in-Fact 04/20/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Includes 16,057 Restricted Stock Units (RSUs). Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. Following the closing of the Issuer's initial public offering (IPO), 1/16th of the RSUs vest for each quarter of continuous service by the Reporting Person to the Issuer following March 16, 2021 and subject to continuous service through each such vesting date, and in each case subject to a performance based vesting condition satisfied upon the closing of the Issuer's initial public offering.
( 2 )Each share of Series A-1 Preferred Stock, Series B-1 Preferred Stock, Series B-2 Preferred Stock, Series C-1 Preferred Stock, Series C-2 Preferred Stock, Series D-1 Preferred Stock, Series D-2 Preferred Stock and Series E Preferred Stock will automatically convert into one share of Class A Common Stock immediately prior to the closing of the Issuer's IPO, and has no expiration date.
( 3 )Accel London V Associates L.L.C., or ALA L.L.C., is the General Partner of Accel London V Associates L.P., which is the general partner of each of Accel London V L.P., and Accel London V Strategic Partners L.P. ALA L.L.C. has sole voting and investment power. Philippe Botteri, Hendrik Nelis, and Sonali de Rycker are the managers of ALA L.L.C. and share such powers. Such Managing Members and the Reporting Person hereunder disclaim beneficial ownership except to the extent of their pecuniary interest therein.
( 4 )ALA L.L.C. is the General Partner of Accel London Investors 2016 L.P. and has sole voting and investment power. Philippe Botteri, Hendrik Nelis, and Sonali de Rycker are the managers of ALA L.L.C. and share such powers. Such Managing Members and the Reporting Person hereunder disclaim beneficial ownership except to the extent of their pecuniary interest therein.
( 5 )Accel Growth Fund IV Associates L.L.C., or AGF4A, is the General Partner of both Accel Growth Fund IV L.P. and Accel Growth Fund IV Strategic Partners L.P., and has sole voting and investment power. Andrew G. Braccia, Sameer K. Gandhi, Ping Li, Tracy L. Sedlock, Ryan J. Sweeney, and Richard P. Wong are the Managing Members of AGF4A and share such powers. Such Managing Members and the Reporting Person hereunder disclaim beneficial ownership except to the extent of their pecuniary interest therein.
( 6 )Andrew G. Braccia, Sameer K. Gandhi, Ping Li, Tracy L. Sedlock, Ryan J. Sweeney, and Richard P. Wong are the Managing Members of Accel Growth Fund Investors 2016 L.L.C. and share the voting and investment powers. Such Managing Members and the Reporting Person hereunder disclaim beneficial ownership except to the extent of their pecuniary interest therein.

Remarks:
Exhibit 24 - Power of AttorneyThis Form 3 is the first of two Form 3s filed relating to the same event. Combined, the two reports report the holdings for the Reporting Person, a director of the Issuer and his indirect relationship to the following reporting persons the "Accel Reporting Persons": Accel London V L.P., Accel London V Strategic Partners L.P., Accel London Investors 2016 L.P., Accel London V Associates L.L.C., Accel Growth Fund IV L.P., Accel Growth Fund IV Strategic Partners L.P., Accel Growth Fund IV Associates L.L.C., Accel Growth Fund Investors 2016 L.L.C., Accel Leaders Fund L.P., Accel Leaders Fund Associates L.L.C., Accel Leaders Fund Investors 2016 L.L.C. This Form 3 has been split into two filings because there are more than 30 reportable holdings among the Accel Reporting Persons in total, and the SEC's EDGAR filing system limits a single Form 3 to a maximum of 30 reportable holdings. Each Form 3 is filed by designated filer Exhibit 24 Power of Attorney.

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).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.