Founder's Name:
Founder's Shares:

Delete the founder named ?

Delete the common stock holder named ?

Choose common holder: Make your choice Founder YC Options Other

Choose your convertible: Standard Post-Money Safe Standard Pre-Money Safe Standard Note Custom Convertible Manual Convertible (YC Companies only)YCVC Safe (through S17) (YC Companies only)YCII Safe (W18 and S18) (YC Companies only)YCII/III Post Safe (W19 +)

Please enter the total number of fully diluted shares in the company:

Delete this convertible?
Note that convertibles will be renumbered and any preexisting lists will need to be manually corrected.

Include in Denominator

Unissued Options prior to round Additional Options created as part of round

Note: YC Standard Post-Money safes include unissued options but NOT additional options.

Use Cap when:	Cap < Valuation Cap price < (Discounted)Equity price
Include in Denominator	Issued Shares Unissued Options prior to round Additional Options created as part of round This convertible Pre-existing Convertibles (to be specified)

Common Stock

Founders
Name	Shares of Founder Stock

Other Common Holders
Name	Shares of Common Stock

Options ? (Pool Size is the sum of Granted, Promised, and Unissued Options)
	Shares
Pool Size
Granted Options
Promised Options
Unissued Options

Convertibles

Name	Your Investment, w/Interest	Total Invested in this Convertible w/Interest	Discount (%)	Cap	Special

Equity

Round	Your Investment (If any)	Total Investment	Post-Money Option Pool(%)	Valuation
Series A				Pre Post

Founder's Name:
Founder's Shares:

Delete the founder named ?

Delete the common stock holder named ?

Choose common holder: Make your choice Founder YC Options Other

Choose your convertible: Standard Post-Money Safe Standard Pre-Money Safe Standard Note Custom Convertible Manual Convertible (YC Companies only)YCVC Safe (through S17) (YC Companies only)YCII Safe (W18 and S18) (YC Companies only)YCII/III Post Safe (W19 +)

Please enter the total number of fully diluted shares in the company:

Delete this convertible?
Note that convertibles will be renumbered and any preexisting lists will need to be manually corrected.

Include in Denominator

Unissued Options prior to round Additional Options created as part of round

Note: YC Standard Post-Money safes include unissued options but NOT additional options.

Use Cap when:	Cap < Valuation Cap price < (Discounted)Equity price
Include in Denominator	Issued Shares Unissued Options prior to round Additional Options created as part of round This convertible Pre-existing Convertibles (to be specified)

Common Stock

Founders
Name	Shares of Founder Stock

Other Common Holders
Name	Shares of Common Stock

Options ? (Pool Size is the sum of Granted, Promised, and Unissued Options)
	Shares
Pool Size
Granted Options
Promised Options
Unissued Options

Convertibles

Name	Your Investment, w/Interest	Total Invested in this Convertible w/Interest	Discount (%)	Cap	Special

Equity

Round	Your Investment (If any)	Total Investment	Post-Money Option Pool(%)	Valuation
Series A				Pre Post