SEC FORM
3
SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
525 UNIVERSITY AVENUE, #800 |
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(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 10/28/2021
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3. Issuer Name and Ticker or Trading Symbol
Udemy, Inc.
[ UDMY ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Common Stock |
905,994 |
I |
See footnote
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series C Convertible Preferred Stock |
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Common Stock |
10,134,082 |
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I |
See footnote
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Series D Convertible Preferred Stock |
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Common Stock |
1,418,858 |
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I |
See footnote
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1. Name and Address of Reporting Person*
525 UNIVERSITY AVENUE, #800 |
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(Street)
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1. Name and Address of Reporting Person*
525 UNIVERSITY AVENUE, #800 |
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(Street)
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1. Name and Address of Reporting Person*
525 UNIVERSITY AVENUE, #800 |
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(Street)
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1. Name and Address of Reporting Person*
525 UNIVERSITY AVENUE, #800 |
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(Street)
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1. Name and Address of Reporting Person*
525 UNIVERSITY AVENUE, #800 |
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(Street)
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Explanation of Responses: |
Remarks: |
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/s/ Ken Hirschman, by power of attorney for Norwest Venture Partners XII, LP |
10/28/2021 |
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/s/ Ken Hirschman, by power of attorney for NVP Associates, LLC |
10/28/2021 |
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/s/ Ken Hirschman, by power of attorney for Jon Kossow |
10/28/2021 |
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/s/ Ken Hirschman, by power of attorney for Promod Haque |
10/28/2021 |
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/s/ Ken Hirschman, by power of attorney for Jeffrey Crowe |
10/28/2021 |
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** Signature of Reporting Person |
Date |
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
5
(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. |
POWER OF ATTORNEY
The undersigned, as a Section 16 reporting person of Udemy, Inc. (the
"Company"), hereby constitutes and appoints each of Kenneth Hirschman, Victoria
Nemiah, Sarah Tian, and Barbara Gunnufson of the Company, and each of the
responsible attorneys and paralegals of Wilson Sonsini Goodrich & Rosati,
Professional Corporation, the undersigned's true and lawful attorney-in-fact to:
1. complete and execute Forms ID, 3, 4 and 5 and other forms and all
amendments thereto as such attorney-in-fact shall in his or her
discretion determine to be required or advisable pursuant to Section
16 of the Securities Exchange Act of 1934 (as amended) and the rules
and regulations promulgated thereunder, or any successor laws and
regulations, as a consequence of the undersigned's ownership,
acquisition or disposition of securities of the Company; and
2. do all acts necessary in order to file such forms with the Securities
and Exchange Commission, any securities exchange or national
association, the Company and such other person or agency as the
attorney-in-fact shall deem appropriate.
The undersigned hereby ratifies and confirms all that said attorneys-in-
fact and agents shall do or cause to be done by virtue hereof. The undersigned
acknowledges that the foregoing attorneys-in-fact, in serving in such capacity
at the request of the undersigned, are not assuming, nor is the Company
assuming, any of the undersigned's responsibilities to comply with Section 16 of
the Securities Exchange Act of 1934 (as amended).
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms ID, 3, 4 and 5 with respect to
the undersigned's holdings of and transactions in securities issued by the
Company, unless earlier revoked by the undersigned in a signed writing delivered
to the Company and the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 27 day of October, 2021.
(Signature page follows)
NORWEST VENTURE PARTNERS XII, LP
By: Genesis VC Partners XII, LLC, its General Partner
By: NVP Associates, LLC, its Managing Member
By: /s/ Matthew De Dominicis
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Name: Matthew De Dominicis
Title: Chief Financial Officer
GENESIS VC PARTNERS XII, LLC
By: NVP Associates, LLC, its Managing Member
By: /s/ Matthew De Dominicis
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Name: Matthew De Dominicis
Title: Chief Financial Officer
NVP ASSOCIATES, LLC
By: /s/ Matthew De Dominicis
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Name: Matthew De Dominicis
Title: Chief Financial Officer
/s/ Promod Haque
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Promod Haque
/s/ Jeffrey Crowe
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Jeffrey Crowe
/s/ Jon Kossow
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Jon Kossow