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 INTAPP, INC. |
3101 PARK BLVD |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 06/19/2024
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3. Issuer Name and Ticker or Trading Symbol
Intapp, Inc.
[ INTA ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
President, Industries |
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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 |
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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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Common Stock |
114,744 |
D |
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Common Stock |
273,852 |
I |
By Harrison Family Legacy Trust
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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 |
Employee Stock Option (Right to Buy) |
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11/13/2028 |
Common Stock |
93,383 |
7.45 |
D |
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Employee Stock Option (Right to Buy) |
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07/29/2030 |
Common Stock |
300,000 |
12 |
D |
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Employee Stock Option (Right to Buy) |
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06/28/2031 |
Common Stock |
150,000 |
26 |
D |
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Explanation of Responses: |
Remarks: |
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/s/ Brian Grube, Attorney-in-Fact |
06/28/2024 |
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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. |
POWER OF ATTORNEY
KNOW ALL PERSONS BY THESE PRESENTS that the undersigned hereby
constitutes and appoints Steven Todd and Brian Grube to be his or her true and
lawful attorney-in-fact and agent to execute and file for and on behalf of
the undersigned (i) any reports on Forms 3, 4, 5 and, if applicable, 144
(including any amendments thereto and any successors to such Forms) with
respect to ownership of securities of Intapp, Inc. (the "Company") that the
undersigned may be required to file with the Securities and Exchange
Commission in accordance with Section 16(a) of the Securities Exchange Act of
1934 and the rules thereunder and/or Rule 144 under the Securities Act of
1933, and (ii) as necessary, any other documents necessary or appropriate to
obtain codes and passwords enabling the undersigned to file such reports
electronically, including completing, signing and submitting to the United
States Securities and Exchange Commission, for and on behalf of the
undersigned, a Form ID application.
The undersigned acknowledges that the foregoing attorney-in-fact,
in serving in such capacity at the request of the undersigned, is 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 and/or Rule 144 under the Securities Act of 1933.
This Power of Attorney shall remain in full force and effect until
the undersigned is no longer required to file Forms 3, 4, 5 and, if
applicable, 144 with respect to the undersigned's holdings and transactions in
securities issued by the Company, unless earlier revoked by the undersigned in
a signed writing delivered to the foregoing attorney-in-fact. This Power of
Attorney also serves to revoke and replace as of the date hereof, any prior
Power of Attorney executed by the undersigned with respect to the ownership of
securities of the Company.
IN WITNESS WHEREOF, the undersigned has caused this Power of
Attorney to be executed as of this 21st day of June, 2024.
/s/ David Benjamin Harrison
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Name: David Benjamin Harrison