SEC FORM 4 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Kreps Edward Jay

(Last) (First) (Middle)
C/O CONFLUENT, INC.
899 W. EVELYN AVENUE

(Street)
MOUNTAIN VIEW CA 94041

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Confluent, Inc. [ CFLT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
11/09/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 11/09/2022 C 255,005 A (1) 255,005 I See footnote(2)
Class A Common Stock 11/09/2022 C 255,005 A (1) 255,005 I See footnote(3)
Class A Common Stock 11/09/2022 C 170,003 A (1) 170,003 I See footnote(4)
Class A Common Stock 11/09/2022 C 170,003 A (1) 170,003 I See footnote(5)
Class A Common Stock 11/09/2022 G 255,005 D $0.00 0 I See footnote(2)
Class A Common Stock 11/09/2022 G 255,005 D $0.00 0 I See footnote(3)
Class A Common Stock 11/09/2022 G 170,003 D $0.00 0 I See footnote(4)
Class A Common Stock 11/09/2022 G 170,003 D $0.00 0 I See footnote(5)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock (1) 11/09/2022 C 255,005 (1) (1) Class A Common Stock 255,005 $0.00 0 I See footnote(2)
Class B Common Stock (1) 11/09/2022 C 255,005 (1) (1) Class A Common Stock 255,005 $0.00 0 I See footnote(3)
Class B Common Stock (1) 11/09/2022 C 170,003 (1) (1) Class A Common Stock 170,003 $0.00 0 I See footnote(4)
Class B Common Stock (1) 11/09/2022 C 170,003 (1) (1) Class A Common Stock 170,003 $0.00 0 I See footnote(5)
Class B Common Stock (1) (1) (1) Class A Common Stock 19,830,000 19,830,000 D
Class B Common Stock (1) (1) (1) Class A Common Stock 149,984 149,984 I See footnote(6)
Class B Common Stock (1) (1) (1) Class A Common Stock 1,000,000 1,000,000 I See footnote(7)
Class B Common Stock (1) (1) (1) Class A Common Stock 1,000,000 1,000,000 I See footnote(8)
Explanation of Responses:
1. Each share of Class B Common Stock held by the Reporting Person will automatically convert into one share of Class A Common Stock upon the sale or transfer of such share of Class B Common Stock, subject to certain exceptions, and in certain other circumstances described in the Issuer's amended and restated certificate of incorporation. Each share of Class B Common Stock will also be convertible at any time at the option of the Reporting Person into one share of Class A Common Stock.
2. The shares are held by The Parent's 2019 Grantor Retained Annuity Trust - I under agreement dated September 26, 2019.
3. The shares are held by The Parent's 2019 Grantor Retained Annuity Trust - II under agreement dated September 26, 2019.
4. The shares are held by The Siblings' 2019 Grantor Retained Annuity Trust - I under agreement dated September 26, 2019.
5. The shares are held by The Siblings' 2019 Grantor Retained Annuity Trust - II under agreement dated September 26, 2019.
6. The shares are held by The Edward J. Kreps and Jamaica H. Kreps 2018 Revocable Trust. On November 9, 2022, an aggregate of 66,894 shares of Class B Common Stock was transferred to The Edward J. Kreps and Jamaica H. Kreps 2018 Revocable Trust in the form of annuity payments from The Parent's 2019 Grantor Retained Annuity Trust - I, The Parent's 2019 Grantor Retained Annuity Trust - II, The Siblings' Grantor Retained Annuity Trust - I and The Siblings' Grantor Retained Annuity Trust - II.
7. The shares are held by the GST Exempt Trust under The Kreps Family 2019 Irrevocable Trust under agreement dated 9/26/2019.
8. The shares are held by the GST Exempt Trust under The Kreps Family 2019 Irrevocable Trust under agreement dated 9/26/2019.
Remarks:
/s/ Melanie Vinson, Attorney-in-fact 11/14/2022
** 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).
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