SEC Form 4
FORM 4 |
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 or Section 30(h) of the Investment Company Act of 1940
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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
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Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
1. Name and Address of Reporting Person*
C/O FRESHWORKS INC. |
2950 S DELAWARE STREET, SUITE 201 |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Freshworks Inc.
[ FRSH ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 11/02/2024
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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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)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Restricted Stock Units |
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11/02/2024 |
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M |
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1,570 |
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08/04/2031 |
Class B Common Stock |
1,570 |
$0
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15,620 |
D |
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Class B Common Stock |
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11/02/2024 |
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M |
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1,570 |
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Class A Common Stock |
1,570 |
$0
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171,180 |
D |
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Explanation of Responses: |
Remarks: |
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/s/ Pamela Sergeeff, Attorney-in-Fact |
11/05/2024 |
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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
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. |
Exhibit 24
POWER OF ATTORNEY
Know
all by these presents, that the undersigned hereby constitutes
and appoints each of Tyler Sloat, Pamela Sergeeff, Desiree Ang,
Robert Ellis, Ruta Shah, Daniel Haynes, Brian Youn, Albert Gelin, Sepideh Mousakhani,
and Calise Cheng, signing individually, the
undersigned’s true
and lawful attorneys-in fact
and agents to:
(1) execute
for and on behalf of the undersigned, in the undersigned’s
capacity as an officer, director or beneficial owner of more
than 10% of a registered class
of securities of
Freshworks Inc. (the “Company”),
Forms 3, 4 and 5 (including any amendments thereto) in accordance with Section 16(a) of
the Securities Exchange Act of 1934, as
amended (the “Exchange Act”) and the rules thereunder
and a Form ID,
Uniform Application for Access Codes to File on EDGAR;
(2) do
and perform any and all acts for and on behalf of the undersigned that may
be necessary or desirable to execute such Forms 3, 4 or 5 or Form ID
(including any amendments thereto) and timely file such
forms with the United States
Securities and Exchange Commission and any stock exchange or similar
authority; and
(3) take
any other action of any nature whatsoever
in connection with the
foregoing which, in the opinion
of such attorney-in-fact, may be of benefit, in
the best interest of, or legally
required by, the undersigned,
it being understood that the documents executed by such
attorney-in-fact on behalf
of the undersigned pursuant
to this Power of Attorney shall be in such form and shall contain such
terms and conditions as such
attorney-in-fact may approve
in such attorney-in-fact’s discretion.
The
undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary or proper
to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents
and purposes as the undersigned
might or could do if personally present, with full
power of substitution or
revocation, hereby ratifying
and confirming all that such attorney-in-fact, or such attorney-in-fact’s
substitute or substitutes,
shall lawfully do or cause to be done by
virtue of this power of attorney and the
rights and powers herein granted.
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 Exchange Act.
This
Power of Attorney shall remain in full force and effect until
the earliest
to occur of (a) the undersigned is no longer required to
file Forms 3, 4 and 5 with respect to the undersigned’s holdings of and transactions in securities
issued by the Company, (b) revocation
by the undersigned in a signed writing
delivered to the foregoing attorneys-in-fact or (c) as to any attorney-in-fact
individually, until such attorney-in-fact
is no longer
employed by the Company or Cooley LLP.
IN WITNESS WHEREOF,
the undersigned has
caused this Power of Attorney to be executed
as of October 22, 2024.
Exhibit 24
POWER OF ATTORNEY
Know
all by these presents, that the undersigned hereby constitutes
and appoints each of Tyler Sloat, Pamela Sergeeff, Desiree Ang,
Robert Ellis, Ruta Shah, Daniel Haynes, Brian Youn, Albert Gelin, Sepideh Mousakhani,
and Calise Cheng, signing individually, the
undersigned’s true
and lawful attorneys-in fact
and agents to:
(1) execute
for and on behalf of the undersigned, in the undersigned’s
capacity as an officer, director or beneficial owner of more
than 10% of a registered class
of securities of
Freshworks Inc. (the “Company”),
Forms 3, 4 and 5 (including any amendments thereto) in accordance with Section 16(a) of
the Securities Exchange Act of 1934, as
amended (the “Exchange Act”) and the rules thereunder
and a Form ID,
Uniform Application for Access Codes to File on EDGAR;
(2) do
and perform any and all acts for and on behalf of the undersigned that may
be necessary or desirable to execute such Forms 3, 4 or 5 or Form ID
(including any amendments thereto) and timely file such
forms with the United States
Securities and Exchange Commission and any stock exchange or similar
authority; and
(3) take
any other action of any nature whatsoever
in connection with the
foregoing which, in the opinion
of such attorney-in-fact, may be of benefit, in
the best interest of, or legally
required by, the undersigned,
it being understood that the documents executed by such
attorney-in-fact on behalf
of the undersigned pursuant
to this Power of Attorney shall be in such form and shall contain such
terms and conditions as such
attorney-in-fact may approve
in such attorney-in-fact’s discretion.
The
undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary or proper
to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents
and purposes as the undersigned
might or could do if personally present, with full
power of substitution or
revocation, hereby ratifying
and confirming all that such attorney-in-fact, or such attorney-in-fact’s
substitute or substitutes,
shall lawfully do or cause to be done by
virtue of this power of attorney and the
rights and powers herein granted.
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 Exchange Act.
This
Power of Attorney shall remain in full force and effect until
the earliest
to occur of (a) the undersigned is no longer required to
file Forms 3, 4 and 5 with respect to the undersigned’s holdings of and transactions in securities
issued by the Company, (b) revocation
by the undersigned in a signed writing
delivered to the foregoing attorneys-in-fact or (c) as to any attorney-in-fact
individually, until such attorney-in-fact
is no longer
employed by the Company or Cooley LLP.
IN WITNESS WHEREOF,
the undersigned has
caused this Power of Attorney to be executed
as of October 22, 2024.
Freshworks (NASDAQ:FRSH)
過去 株価チャート
から 11 2024 まで 12 2024
Freshworks (NASDAQ:FRSH)
過去 株価チャート
から 12 2023 まで 12 2024