# EDGAR Filing Document

**Accession Number:** 0001393052
**File Stem:** 0001628280-23-002648
**Filing Date:** 2023-2
**Character Count:** 11076
**Document Hash:** fac8056752f792f6420f1fce0085f7de
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001628280-23-002648.hdr.sgml**: 20230207

**ACCESSION NUMBER**: 0001628280-23-002648

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230206

**FILED AS OF DATE**: 20230207

**DATE AS OF CHANGE**: 20230207

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Wallach Matthew J
- **CENTRAL INDEX KEY:** 0001585819

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-36121
- **FILM NUMBER:** 23596436

**MAIL ADDRESS:**
- **STREET 1:** C/O VEEVA SYSTEMS INC.
- **STREET 2:** 4280 HACIENDA DRIVE
- **CITY:** PLEASANTON
- **STATE:** CA
- **ZIP:** 94588
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** VEEVA SYSTEMS INC
- **CENTRAL INDEX KEY:** 0001393052
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-PREPACKAGED SOFTWARE [7372]
- **IRS NUMBER:** 208235463
- **FISCAL YEAR END:** 0131

**BUSINESS ADDRESS:**
- **STREET 1:** 4280 HACIENDA DRIVE
- **CITY:** PLEASANTON
- **STATE:** CA
- **ZIP:** 94588
- **BUSINESS PHONE:** 925-264-8887

**MAIL ADDRESS:**
- **STREET 1:** 4280 HACIENDA DRIVE
- **CITY:** PLEASANTON
- **STATE:** CA
- **ZIP:** 94588

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** VERTICALS ONDEMAND INC
- **DATE OF NAME CHANGE:** 20070313

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] 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**<sup>*</sup><br>Wallach Matthew J<br><sub>(Last) (First) (Middle)</sub><br>C/O VEEVA SYSTEMS INC.<br>4280 HACIENDA DRIVE<br><sub>(Street)</sub><br>PLEASANTON, CA 94588<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-02-06 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[X] Director [ ] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>VEEVA SYSTEMS INC [ VEEV ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Class A Common Stock | 2023-02-06<sup>(1)</sup> |  | C<sup>(2)</sup> |  | 10000 | A | $0 | 12846 | D |  |
| Class A Common Stock | 2023-02-06 |  | S<sup>(2)</sup> |  | 2906 | D | 173.2127<sup>(3)</sup> | 9940 | D |  |
| Class A Common Stock | 2023-02-06 |  | S<sup>(2)</sup> |  | 4194 | D | 173.9176<sup>(4)</sup> | 5746 | D |  |
| Class A Common Stock | 2023-02-06 |  | S<sup>(2)</sup> |  | 1300 | D | 175.1105<sup>(5)</sup> | 4446 | D |  |
| Class A Common Stock | 2023-02-06 |  | S<sup>(2)</sup> |  | 1100 | D | 176.2955<sup>(6)</sup> | 3346 | D |  |
| Class A Common Stock | 2023-02-06 |  | S<sup>(2)</sup> |  | 500 | D | 177.177<sup>(7)</sup> | 2846 | D |  |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Stock Option (right to buy) | $3.92 | 2023-02-06<sup>(1)</sup> |  | M<sup>(2)</sup> |  |  | 10000 | <sup>(8)</sup> | 2023-03-09 | Class B Common Stock | 10000.0 | $0 | 10000 | D |  |
| Class B Common Stock | $3.92 | 2023-02-06<sup>(1)</sup> |  | M<sup>(2)</sup> |  | 10000 |  | <sup>(9)</sup> | <sup>(9)</sup> | Class A Common Stock | 10000.0 | $0 | 140000<sup>(10)</sup> | D |  |
| Class B Common Stock | <sup>(9)</sup> | 2023-02-06<sup>(1)</sup> |  | C<sup>(2)</sup> |  |  | 10000 | <sup>(9)</sup> | <sup>(9)</sup> | Class A Common Stock | 10000.0 | $0 | 130000<sup>(11)</sup> | D |  |
| Class B Common Stock | 0.0<sup>(9)</sup> |  |  |  |  |  |  | <sup>(9)</sup> | <sup>(9)</sup> | Class A Common Stock | 100000.0 |  | 100000 | I | By Matt Wallach 2012 Irrevocable Trust dated October 15, 2012 |
| Class B Common Stock | 0.0<sup>(9)</sup> |  |  |  |  |  |  | <sup>(9)</sup> | <sup>(9)</sup> | Class A Common Stock | 50000.0 |  | 50000 | I | By Matt Wallach 2012 Irrevocable Non-Grantor Trust dated October 15, 2012 |
| Class B Common Stock | 0.0<sup>(9)</sup> |  |  |  |  |  |  | <sup>(9)</sup> | <sup>(9)</sup> | Class A Common Stock | 100002.0 |  | 100002 | I | By Matt Wallach 2013 Irrevocable Trust dated August 13, 2013 |

---

### Footnotes:

(1) Transaction exempt from Section 16(b) of the Securities Exchange Act of 1934 (the "Act") pursuant to Rule 16b-6(b) promulgated under theAct.

(2) This transaction was effected pursuant to Rule 10b5-1 trading plans adopted by the Reporting Person.

(3) The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $172.56 to $173.555 per share, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.

(4) The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $173.57 to $174.505 per share, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.

(5) The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $174.77 to $175.71 per share, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.

(6) The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $175.91 to $176.74 per share, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.

(7) The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $176.91 to $177.605 per share, inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.

(8) The option shares are fully vested and may be exercised at any time.

(9) Each share of Class B Common Stock is convertible, at any time at the option of the holder, into one (1) share of Class A Common Stock and has no expiration date. In addition, each share of Class B Common Stock will convert automatically into one (1) share of Class A Common Stock upon any transfer, whether or not for value, which occurs after the closing of the IPO, except for certain permitted transfers described in, and transfers to any "permitted transferee" as defined in, the Issuer's restated certificate of incorporation. All shares of Class A and Class B Common Stock will convert automatically into shares of a single class of Common Stock upon the earliest to occur of the following: (a) upon the election by the holders of a majority of the then outstanding shares of Class B Common Stock or (b) October 15, 2023.

(10) Represents 140,000 shares of Class B Common Stock held by the Reporting Person and Cristina Wallach as joint tenants with right of survivorship.

(11) Represents 130,000 shares of Class B Common Stock held by the Reporting Person and Cristina Wallach as joint tenants with right of survivorship.

**Signature:** /s/ Jonathan Faddis, attorney-in-fact  
**Date:** 2023-02-07

### Remarks:

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.**