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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1. Name and Address of Reporting Person*
Cantieri Rebecca

(Last) (First) (Middle)
C/O SVMK INC.
ONE CURIOSITY WAY

(Street)
SAN MATEO CA 94403

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/25/2018
3. Issuer Name and Ticker or Trading Symbol
SVMK Inc. [ SVMK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief People Officer
5. 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 Beneficially Owned
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)
Common Stockl 178,791(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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) (2) 12/09/2021 Common Stock 23,548 11 D
Employee Stock Option (Right to buy) (3) 08/21/2025 Common Stock 225,000 16.03 D
Employee Stock Option (Right to buy) (4) 08/29/2026 Common Stock 101,200 16.03 D
Employee Stock Option (Right to buy) (5) 02/17/2027 Common Stock 93,575 16.03 D
Employee Stock Option (Right to buy) (6) 03/05/2028 Common Stock 93,000 13.2 D
Explanation of Responses:
1. Certain of these securities are restricted stock units. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock, subject to the applicable vesting schedule and conditions.
2. The shares subject to the option are fully vested and exercisable.
3. One-fourth of the shares subject to the option vested on August 21, 2016 and one forty-eighth of the shares subject to the option vest each month thereafter, subject to the Reporting Person continuing as a service provider through each such date.
4. One thirty-sixth of the shares subject to the option vested on January 23, 2017 and one thirty-sixth of the shares subject to the option vest each month thereafter, subject to the Reporting Person continuing as a service provider through each such date.
5. One-twelfth of the shares subject to the option vested on May 15, 2017 and one-twelfth of the shares subject to the option vest each quarter thereafter, subject to the Reporting Person continuing as a service provider through each such date.
6. One-twelfth of the shares subject to the option vested on May 15, 2018 and one-twelfth of the shares subject to the option vest each quarter thereafter, subject to the Reporting Person continuing as a service provider through each such date.
Remarks:
Exhibit 24 - Power of Attorney
/s/ Adam M. Inglis, by power of attorney 09/25/2018
** 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.
POWER OF ATTORNEY
      
      The undersigned, as a Section 16 reporting person of SVMK Inc. 
(the "Company"), hereby constitutes and appoints Lora D. Blum, Adam Inglis,
Michael J. McKay, and Lanson Wan,  and each of them, the undersigned's true and
lawful attorney-in-fact, to: 
      1.	Prepare, execute in the undersigned's name and on the undersigned's
behalf, and submit to the Securities and Exchange Commission (the "SEC") a Form
ID, including amendments thereto, and any other documents necessary or
appropriate to obtain EDGAR codes and passwords enabling the undersigned to make
electronic filings with the SEC of reports required by Section 16(a) of the
Securities Exchange Act of 1934 or any rule or regulation of the SEC;
      2.	Complete and execute Forms 3, 4 and 5 and other forms and all
amendments thereto as such attorney-in-fact shall in his or her discretion
determine to be required or advisable pursuant to Section 16 of the Securities
Exchange Act of 1934 (as amended) and the rules and regulations promulgated
thereunder, or any successor laws and regulations, as a consequence of the
undersigned's ownership, acquisition or disposition of securities of the
Company; and
      3.	Do all acts necessary in order to file such forms with the SEC, any
securities
 exchange or national association, the Company and such other person
or agency as the attorney-in-fact shall deem appropriate.
      The undersigned hereby ratifies and confirms all that said
attorneys-in-fact and agent shall do or cause to be done by virtue hereof.  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
Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934 (as amended).
      This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
Company and the foregoing attorneys-in-fact. 
      IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 11th day of September, 2018. 
      
      
      					Signature: 	/s/ Rebecca L. Cantieri		
      					Print Name: 	Rebecca L. Cantieri