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

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
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
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 C-1 Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 3,326,970 I By Accel Leaders Fund L.P. ( 2 )
Series C-2 Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 2,657,322 I By Accel Leaders Fund L.P. ( 2 )
Series D-1 Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 747,579 I By Accel Leaders Fund L.P. ( 2 )
Series D-2 Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 125,532 I By Accel Leaders Fund L.P. ( 2 )
Series E Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 25,665 I By Accel Leaders Fund L.P. ( 2 )
Series C-1 Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 158,958 I By Accel Leaders Fund Investors 2016 L.L.C. ( 3 )
Series C-2 Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 126,963 I By Accel Leaders Fund Investors 2016 L.L.C. ( 3 )
Series D-1 Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 35,718 I By Accel Leaders Fund Investors 2016 L.L.C. ( 3 )
Series D-2 Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 5,997 I By Accel Leaders Fund Investors 2016 L.L.C. ( 3 )
Series E Preferred Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 1,226 I By Accel Leaders Fund Investors 2016 L.L.C. ( 3 )
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 )Each share of 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 initial public offering (IPO), and has no expiration date.
( 2 )Accel Leaders Fund Associates L.L.C., or ALFA, is the General Partner of Accel Leaders Fund 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 ALFA and share such powers. Such Managing Members and the Reporting Person hereunder disclaim beneficial ownership except to the extent of their pecuniary interest therein.
( 3 )Andrew G. Braccia, Sameer K. Gandhi, Ping Li, Tracy L. Sedlock, Ryan J. Sweeney, and Richard P. Wong are the Managing Members of Accel Leaders Fund Investors 2016 L.L.C. and share 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 second 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 reportab le 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.

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