Form 4 for LZ LEGALZOOM.COM, INC.
Accepted 2021-07-02 00:00:00 ET · period of report 2021-07-02 · accession 0000899243-21-027374 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| D | 2021-07-02 | 2021-07-02 | LZ | Permira V G.P. L.P. | Dir, 10% | C - Cnv Deriv | $0.00 | +36.54M | 38.01M | +2,477% | $0 |
| D | 2021-07-02 | 2021-07-02 | LZ | Permira V G.P. L.P. | Dir, 10% | C - Cnv Deriv | $0.00 | -18.27M | 0 | -100% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock | 2021-07-02 | C | A | 36,537,688 | $0.00 | 38,012,988 | D | — | — | (F1) Upon completion of the Issuer's initial public offering and concurrent private placement, the Issuer's Series A redeemable convertible preferred stock converted into the Issuer's common stock on a one-for-two basis. (F2) Following the conversion described in footnote (1), LucasZoom, LLC ("LucasZoom") is the record holder of 38,012,988 shares of the Issuer's common stock (the "Subject Securities"). Lucazoom S.a.r.l. ("Lucazoom") is the sole member of LucasZoom. Permira V L.P.2 ("Permira V") is the controlling shareholder of Lucazoom. Permira V GP L.P. ("Permira V GP") is the general partner of Permira V. Permira V GP Limited (together with Lucazoom, Permira V and Permira V GP, the "Permira Entities") is the general partner of Permira V GP. (F3) The Permira Entities may be deemed to share voting and dispositive power over the Subject Securities held by LucasZoom but disclaim such beneficial ownership except to the extent of their pecuniary interest therein. |
| 2 | Derivative | Series A Redeemable Convertible Preferred Stock | 2021-07-02 | C | D | 18,268,844 | $0.00 | 0 | D | $0.00 · — to — | 36,537,688 Common Stock | (F2) Following the conversion described in footnote (1), LucasZoom, LLC ("LucasZoom") is the record holder of 38,012,988 shares of the Issuer's common stock (the "Subject Securities"). Lucazoom S.a.r.l. ("Lucazoom") is the sole member of LucasZoom. Permira V L.P.2 ("Permira V") is the controlling shareholder of Lucazoom. Permira V GP L.P. ("Permira V GP") is the general partner of Permira V. Permira V GP Limited (together with Lucazoom, Permira V and Permira V GP, the "Permira Entities") is the general partner of Permira V GP. (F3) The Permira Entities may be deemed to share voting and dispositive power over the Subject Securities held by LucasZoom but disclaim such beneficial ownership except to the extent of their pecuniary interest therein. (F1) Upon completion of the Issuer's initial public offering and concurrent private placement, the Issuer's Series A redeemable convertible preferred stock converted into the Issuer's common stock on a one-for-two basis. |