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*
C/O SUITES PT. 2909 & 2910 |
HARBOUR CENTRE, 25 HARBOUR RD |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/17/2019
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3. Issuer Name and Ticker or Trading Symbol
Zoom Video Communications, Inc.
[ ZM ]
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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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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 A Convertible Preferred Stock |
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Class B Common Stock
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76,355 |
0.00
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D
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Series B Convertible Preferred Stock |
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Class B Common Stock
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7,956,240 |
0.00
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D
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Series C Convertible Preferred Stock |
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Class B Common Stock
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1,597,344 |
0.00
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D
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Series A Convertible Preferred Stock |
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Class B Common Stock
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46,667 |
0.00
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D
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Class B Common Stock |
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Class A Common Stock |
57,512 |
0.00
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D
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1. Name and Address of Reporting Person*
C/O SUITES PT. 2909 & 2910 |
HARBOUR CENTRE, 25 HARBOUR RD |
(Street)
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1. Name and Address of Reporting Person*
C/O SUITES PT. 2909 & 2910 |
HARBOUR CENTRE, 25 HARBOUR RD |
(Street)
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1. Name and Address of Reporting Person*
C/O SUITES PT. 2909 & 2910 |
HARBOUR CENTRE, 25 HARBOUR RD |
(Street)
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1. Name and Address of Reporting Person*
C/O SUITES PT. 2909 & 2910 |
HARBOUR CENTRE, 25 HARBOUR RD |
(Street)
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1. Name and Address of Reporting Person*
C/O SUITES PT. 2909 & 2910 |
HARBOUR CENTRE, 25 HARBOUR RD |
(Street)
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Explanation of Responses: |
Remarks: |
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Puccini World Limited, By: /s/ Ng Ngar Bun Raymond, Attorney-in-Fact |
05/07/2019 |
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Oscar Time Limited, By: /s/ Ng Ngar Bun Raymond, Attorney-in-Fact |
05/07/2019 |
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Cranwood Company Limited, By: /s/ Ng Ngar Bun Raymond, Attorney-in-Fact |
05/07/2019 |
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Composers International Limited, By: /s/ Ng Ngar Bun Raymond, Attorney-in-Fact |
05/07/2019 |
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Chau Hoi Shuen Solina Holly, By: /s/ Ng Ngar Bun Raymond, Attorney-in-Fact |
05/07/2019 |
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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. |
Exhibit 24
POWER OF ATTORNEY
The undersigned hereby constitutes and appoints each of Wong Sze Tchung
Jason and Ng Ngar Bun Raymond, signing singly, and with full power of
substitution, the undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, and in the undersigned's
capacity as an officer and/or director of each of the respective entities listed
on Annex A hereto (each, a "Company"), from time to time the following U.S.
Securities and Exchange Commission ("SEC") forms: (i) Form ID, including any
attached documents, to effect the assignment of codes to the undersigned and
each respective Company to be used in the transmission of information to the SEC
using the EDGAR System; (ii) Form 3, Initial Statement of Beneficial Ownership
of Securities, including any attached documents; (iii) Form 4, Statement of
Changes in Beneficial Ownership of Securities, including any attached documents;
(iv) Form 5, Annual Statement of Beneficial Ownership of Securities in
accordance with Section 16(a) of the Securities Exchange Act of 1934, as
amended, and the rules thereunder, including any attached documents; (v)
Schedule 13D or 13G; and (vi) amendments of each thereof, in accordance with the
Securities Exchange Act of 1934, as amended, and the rules thereunder, including
any attached documents;
(2) do and perform any and all acts for and on behalf of the undersigned
which may be necessary or desirable to complete and execute any such Form 3, 4
or 5, Schedule 13G, Schedule 13D or any amendment(s) thereto, and timely file
such form(s) with the SEC and any securities exchange, national association or
similar authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
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, acting singly,
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 respective Company assuming, any of
the undersigned's responsibilities to comply with Section 16 or Regulation 13D-G
of the Securities Exchange Act of 1934, as amended. The undersigned hereby
agrees to indemnify the attorney-in-fact and the respective Company from and
against any demand, damage, loss, cost or expense arising from any false or
misleading information provided by the undersigned to the attorney-in fact.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file such forms with respect to the
undersigned's holdings of and transactions in securities issued to the
respective Company, unless earlier revoked by the undersigned in a signed
writing delivered to the foregoing attorneys-in-fact.
[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
IN WITNESS WHEREOF, the undersigned have caused this Power of Attorney to
be executed as of May 2, 2019.
/s/ Chau Hoi Shuen Solina Holly
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Chau Hoi Shuen Solina Holly
Puccini World Limited
By: /s/ Chau Hoi Shuen Solina Holly
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Name: Chau Hoi Shuen Solina Holly
Title: Director
Oscar Time Limited
By: /s/ Chau Hoi Shuen Solina Holly
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Name: Chau Hoi Shuen Solina Holly
Title: Director
Cranwood Company Limited
By: /s/ Chau Hoi Shuen Solina Holly
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Name: Chau Hoi Shuen Solina Holly
Title: Director
Composers International Limited
By: /s/ Chau Hoi Shuen Solina Holly
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Name: Chau Hoi Shuen Solina Holly
Title: Director
[Signature page of Power of Attorney (2019 May)]
ANNEX A
Puccini World Limited
Oscar Time Limited
Cranwood Company Limited
Composers International Limited