April 20, 2021 - Mendoza Thomas F - 3: Initial statement of beneficial ownership of securities

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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(Print or Type Responses)

1. Name and Address of Reporting Person ^*

MENDOZA THOMAS F

2. Date of Event Requiring Statement (Month/Day/Year)
04/20/2021

3. Issuer Name and Ticker or Trading Symbol
UiPath, Inc. [PATH]

(Last)

(First)

(Middle)

C/O UIPATH, INC., 90 PARK AVE, 20TH FL

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

__X__ Director	_____ 10% Owner
_____ Officer (give title below)	_____ Other (specify below)

5. If Amendment, Date Original Filed(Month/Day/Year)

(Street)

NEW YORK, NY 10016

6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

(City)

(State)

(Zip)

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)
Class A Common Stock	1,611,120	I	See Footnote ⁽¹⁾
Class A Common Stock	100,000	I	See Footnote ⁽²⁾

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.			SEC 1473 (7-02)
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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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security		6. Nature of Indirect Beneficial Ownership (Instr. 5)
Series B-1 Preferred Stock	⁽³⁾	⁽³⁾	Class A Common Stock	57,180	$ ⁽³⁾	I	See Footnote ⁽¹⁾
Series B-2 Preferred Stock	⁽³⁾	⁽³⁾	Class A Common Stock	16,950	$ ⁽³⁾	I	See Footnote ⁽¹⁾
Series C-1 Preferred Stock	⁽³⁾	⁽³⁾	Class A Common Stock	17,430	$ ⁽³⁾	I	See Footnote ⁽¹⁾
Series C-2 Preferred Stock	⁽³⁾	⁽³⁾	Class A Common Stock	13,920	$ ⁽³⁾	I	See Footnote ⁽¹⁾
Series D-1 Preferred Stock	⁽³⁾	⁽³⁾	Class A Common Stock	13,053	$ ⁽³⁾	I	See Footnote ⁽¹⁾
Series D-2 Preferred Stock	⁽³⁾	⁽³⁾	Class A Common Stock	2,193	$ ⁽³⁾	I	See Footnote ⁽¹⁾

Reporting Owners

Reporting Owner Name / Address	Relationships
Reporting Owner Name / Address	Director	10% Owner	Officer	Other
MENDOZA THOMAS F C/O UIPATH, INC., 90 PARK AVE, 20TH FL NEW YORK, NY 10016	X

Signatures

/s/ Brad Brubaker, Attorney-in-Fact		04/20/2021
^**Signature of Reporting Person		Date

Explanation of Responses:

*	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).
(1)	Shares are held directly by the Amended and Restated Thomas F. Mendoza Revocable Trust, of which Reporting Person is the trustee and a beneficiary.
(2)	Shares are held directly by the Thomas F. Mendoza 2021 GRAT, of which the Reporting Person is the trustee and a beneficiary.
(3)	Each share of Series B-1 Preferred Stock, Series B-2 Preferred Stock, Series C-1 Preferred Stock, Series C-2 Preferred Stock, Series D-1 Preferred Stock, and D-2 Preferred Stock will automatically convert into one share of Class A Common Stock immediately prior to the closing of the Issuer's initial public offering (IPO), and has no expiration date.
Remarks: Exhibit 24 - Power of Attorney

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Form: 3

Documents

Reporting Owners

Signatures

Explanation of Responses: