# EDGAR Filing Document

**Accession Number:** 0001301262
**File Stem:** 0001628280-23-001719
**Filing Date:** 2023-1
**Character Count:** 8411
**Document Hash:** f69b9a9d0dcc50bbc425538f85659242
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001628280-23-001719.hdr.sgml**: 20230130

**ACCESSION NUMBER**: 0001628280-23-001719

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230126

**FILED AS OF DATE**: 20230130

**DATE AS OF CHANGE**: 20230130

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Brown Dale R
- **CENTRAL INDEX KEY:** 0001301262

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40895
- **FILM NUMBER:** 23567877

**MAIL ADDRESS:**
- **STREET 1:** 1060 E ARQUES AVE
- **CITY:** SUNNYVALE
- **STATE:** CA
- **ZIP:** 94085
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Gitlab Inc.
- **CENTRAL INDEX KEY:** 0001653482
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-PREPACKAGED SOFTWARE [7372]
- **IRS NUMBER:** 471861035
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 0131

**BUSINESS ADDRESS:**
- **STREET 1:** 268 BUSH STREET
- **STREET 2:** #350
- **CITY:** SAN FRANCISCO
- **STATE:** CA
- **ZIP:** 94104
- **BUSINESS PHONE:** 650-474-5175

**MAIL ADDRESS:**
- **STREET 1:** 268 BUSH STREET
- **STREET 2:** #350
- **CITY:** SAN FRANCISCO
- **STATE:** CA
- **ZIP:** 94104

### 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>Brown Dale R<br><sub>(Last) (First) (Middle)</sub><br>C/O GITLAB INC.<br><sub>(Street)</sub><br>NOT APPLICABLE, DE <br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-01-26 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [ ] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_Principal Accounting Officer_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>Gitlab Inc. [ GTLB ] | **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 | 2023-01-26 |  | C |  | 2680 | A | 0<sup>(1)</sup> | 18945 | D |  |
| Class A Common Stock | 2023-01-26 |  | S<sup>(2)</sup> |  | 2680 | D | $50 | 16265<sup>(3)</sup> | 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 Class B Common Stock) | $17.82 | 2023-01-26 |  | M<sup>(2)</sup> |  |  | 375 | <sup>(4)</sup> | 2031-03-17 | Class B Common Stock | 375.0 | $0 | 29000 | D |  |
| Stock Option (Right to buy Class B Common Stock) | $8.9 | 2023-01-26 |  | M<sup>(2)</sup> |  |  | 2305 | <sup>(5)</sup> | 2029-10-22 | Class B Common Stock | 2305.0 | $0 | 58852 | D |  |
| Class B Common Stock | $17.82 | 2023-01-26 |  | M<sup>(2)</sup> |  | 375 |  | <sup>(1)</sup> | <sup>(1)</sup> | Class A Common Stock | 375.0 | <sup>(1)</sup> | 375 | D |  |
| Class B Common Stock | $8.9 | 2023-01-26 |  | M<sup>(2)</sup> |  | 2305 |  | <sup>(1)</sup> | <sup>(1)</sup> | Class A Common Stock | 2305.0 | <sup>(1)</sup> | 2680 | D |  |
| Class B Common Stock | <sup>(1)</sup> | 2023-01-26 |  | C |  |  | 2680 | <sup>(1)</sup> | <sup>(1)</sup> | Class A Common Stock | 2680.0 | <sup>(1)</sup> | 0 | D |  |

---

### Footnotes:

(1) Each share of the Company's Class B Common Stock is convertible into one share of the Company's Class A Common Stock at any time and will convert automatically upon certain transfers and upon the earlier of (i) ten years from the date of the closing of the Company's initial public offering (the "IPO"), (ii) the death or disability of Sytse Sijbrandij, the chief executive officer of the Company, (iii) the first date following the completion of the IPO on which the number of shares of outstanding Class B Common Stock (including shares of Class B Common Stock subject to outstanding stock options) is less than 5% of the aggregate number of shares of the Company's common stock then outstanding, and (iv) the date specified by a vote of the holders of two-thirds of the then outstanding shares of Class B Common Stock.

(2) The option exercises and sales reported on this Form 4 were executed pursuant to a trading plan entered into by the reporting person on December 23, 2021 and amended on June 29, 2022 in accordance with Rule 10b5-1 of the Securities Exchange Act of 1934, as amended.

(3) Includes shares of Class A Common Stock that have not yet vested. The reported total also includes shares acquired pursuant to the Company's Employee Stock Purchase Plan.

(4) The option will vest as to 25% of the total shares on March 18, 2022, and 1/48 of the total shares will vest monthly thereafter, subject to the Reporting Person's provision of service to the Issuer on each vesting date. The option contains an early-exercise provision and is exercisable as to unvested shares, subject to the Issuer's right of repurchase.

(5) The option vested as to 25% of the total shares on October 1, 2020, and 1/48 of the total shares will vest monthly thereafter, subject to the Reporting Person's provision of service to the Issuer on each vesting date. The option contains an early-exercise provision and is exercisable as to unvested shares, subject to the Issuer's right of repurchase.

**Signature:** /s/ Robin Schulman, Attorney-in-Fact for Dale R. Brown  
**Date:** 2023-01-30

### 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.**