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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 01/01/2019 |
3. Issuer Name and Ticker or Trading Symbol
Talend SA [ TLND ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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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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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Ordinary Shares | 136,229(1)(2) | D |
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) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Employee Stock Option (right to buy) | (3) | 07/06/2026 | Ordinary Shares(1) | 12,516 | $16.56(4) | D | |
Employee Stock Option (right to buy) | (5) | 07/06/2026 | Ordinary Shares(1) | 15,883 | $16.56(4) | D |
Explanation of Responses: |
1. The Ordinary Shares may be represented by American Depositary Shares, each of which currently represents one Ordinary Share. |
2. Includes 127,914 Ordinary Shares represented by restricted stock units, or RSUs, which vest as follows: (i) 13,858 RSUs vest in ten equal quarterly installments beginning on February 15, 2019; (ii) 66,667 RSUs vest on November 15, 2019 and an additional 33,333 RSUs subject to the award vest on November 15, 2020; and (iii) 5,622 RSUs vest on March 15, 2020 and an additional 8,434 RSUs subject to the award vest in eight equal quarterly installments beginning on June 15, 2020. |
3. An option to purchase 25,032 Ordinary Shares shares was granted on July 8, 2016 and was exercised in part prior to the date on which the Reporting Person became subject to Section 16. The remaining Ordinary Shares underlying the option vest as to 3,438 Ordinary Shares on January 1, 2019 and January 1, 2020 and an additional 2,820 Ordinary Shares on April 1, 2019 and April 1, 2020. |
4. The exercise price of the option is 14.46 Euros. The U.S. dollar equivalent of the exercise price is $16.56 using the European Central Bank rate as of December 31, 2018 (1.00 = $1.145). |
5. An option to purchase 29,968 Ordinary Shares was granted on July 8, 2016 and was exercised in part prior to the date on which the Reporting Person became subject to Section 16. The remaining Ordinary Shares underlying the option vest in seven quarterly installments beginning on January 1, 2019. |
Remarks: |
Exhibit 24 - Power of Attorney |
/s/ Aaron Ross, by power of attorney | 01/01/2019 | |
** 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. |