SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
|||||||||||||||
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
ZIPRECRUITER, INC. [ ZIP ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
||||||||||||||||||||||||
3. Date of Earliest Transaction
(Month/Day/Year) 08/30/2023 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Class A Common Stock | 08/30/2023 | C | 3,800,000 | A | $0.00(1) | 3,800,000 | D(2) | |||
Class A Common Stock | 08/30/2023 | J(3) | 3,800,000 | D | $0.00 | 0 | D(2) | |||
Class A Common Stock | 08/30/2023 | J(4) | 805,600 | A | $0.00 | 809,848 | I | By Institutional Venture Management XIV, LLC(5) | ||
Class A Common Stock | 08/30/2023 | J(6) | 805,600 | D | $0.00 | 4,248 | I | By Institutional Venture Management XIV, LLC(5) | ||
Class A Common Stock | 08/30/2023 | J(7) | 143,126 | A | $0.00 | 143,126 | D(8) | |||
Class A Common Stock | 08/30/2023 | J(7) | 12,007 | A | $0.00 | 13,682 | D(9) | |||
Class A Common Stock | 08/30/2023 | J(7) | 100,190 | A | $0.00 | 114,181 | I | By Trust(10) | ||
Class A Common Stock | 08/30/2023 | J(7) | 14,312 | A | $0.00 | 16,311 | I | By Trust(10) | ||
Class A Common Stock | 08/30/2023 | J(7) | 14,312 | A | $0.00 | 16,311 | I | By Trust(10) | ||
Class A Common Stock | 08/30/2023 | J(7) | 14,312 | A | $0.00 | 16,311 | I | By Trust(10) | ||
Class A Common Stock | 08/30/2023 | J(7) | 143,126 | A | $0.00 | 163,114 | I | By Trust(11) | ||
Class A Common Stock | 08/30/2023 | J(7) | 47,707 | A | $0.00 | 54,369 | I | By Trust(12) | ||
Class A Common Stock | 08/30/2023 | J(7) | 71,563 | A | $0.00 | 81,557 | I | By Trust(13) | ||
Class A Common Stock | 08/30/2023 | J(7) | 71,563 | A | $0.00 | 81,557 | I | By Trust(13) | ||
Class A Common Stock | 08/30/2023 | J(7) | 143,126 | A | $0.00 | 163,114 | I | By Trust(14) | ||
Class A Common Stock | 1,784,475 | I | By Institutional Venture Partners XV,L.P.(15) | |||||||
Class A Common Stock | 9,495 | I | By Institutional Venture Partners XV Executive Fund, L.P.(16) | |||||||
Class A Common Stock | 4,247 | I | By Institutional Venture Management XV, LLC(17) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Class B Common Stock | (1) | 08/30/2023 | C | 3,800,000 | (18) | (18) | Class A Common Stock | 3,800,000 | $0.00(18) | 3,809,348 | D(2) | ||||
Class B Common Stock | (18) | (18) | (18) | Class A Common Stock | 5,763,820 | 5,763,820 | I | By Institutional Venture Partners XV,L.P.(15) | |||||||
Class B Common Stock | (18) | (18) | (18) | Class A Common Stock | 30,662 | 30,662 | I | By Institutional Venture Partners XV Executive Fund, L.P.(16) |
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
| ||||||||||||
1. Name and Address of Reporting Person*
(Street)
|
Explanation of Responses: |
1. These shares of Class B common stock were converted on a one-for-one basis into Class A common stock for no additional consideration. |
2. The shares are held of record or beneficially by Institutional Venture Partners XIV, L.P. ("IVP XIV"). Institutional Venture Management XIV LLC ("IVM XIV") is the general partner of IVP XIV. Todd C. Chaffee, Norman A. Fogelsong, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps, Jr. are the managing directors of IVM XIV and may be deemed to share voting and dispositive power over the shares held by IVP XIV. Each of IVM XIV and Messrs. Chaffee, Fogelsong, Harrick, Maltz, Miller and Phelps disclaims beneficial ownership of the shares held by IVP XIV except to the extent of its or his respective pecuniary interest therein. |
3. Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by IVP XIV to its general partner and limited partners without additional consideration. |
4. Represents receipt of shares in the distribution in kind described in footnote (3). |
5. The shares are held of record or beneficially by IVM XIV. Todd C. Chaffee, Norman A. Fogelsong, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps, Jr. are the managing directors of IVM XIV and may be deemed to share voting and dispositive power over the shares held by IVM XIV. Each of Messrs. Chaffee, Fogelsong, Harrick, Maltz, Miller and Phelps disclaims beneficial ownership of the shares held by IVM XIV except to the extent of his respective pecuniary interest therein. |
6. Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by IVM XIV to its members without additional consideration. |
7. Represents receipt of shares in the distribution in kind described in footnote (6). |
8. The shares are held by Todd C. Chaffee. |
9. The shares are held by Somesh Dash. |
10. The shares are held by a family trust, of which Mr. Fogelsong is the trustee. Mr. Fogelsong disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein. |
11. The shares are held by a family trust, of which Mr. Harrick is the trustee. Mr. Harrick disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein. |
12. The shares are held by a family trust, of which Mr. Maltz is the trustee. Mr. Maltz disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein. |
13. The shares are held by a family trust, of which Mr. Miller is the trustee. Mr. Miller disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein. |
14. The shares are held by a family trust, of which Mr. Phelps is the trustee. Mr. Phelps disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein. |
15. The shares are held of record or beneficially by Institutional Venture Partners XV, L.P. ("IVP XV"). Institutional Venture Management XV, LLC ("IVM XV") is the general partner of IVP XV. Todd C. Chaffee, Norman A. Fogelsong, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller, Dennis B. Phelps, Jr., Somesh Dash and Eric Liaw are the managing directors of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XV. Each of IVM XV and Messrs. Chaffee, Fogelsong, Harrick, Maltz, Miller, Phelps and Dash disclaims beneficial ownership of the shares held by IVP XV except to the extent of its or his respective pecuniary interest therein. Mr. Liaw is a director of the Issuer and files separate Section 16 reports. |
16. The shares are held of record or beneficially by Institutional Venture Partners XV Executive Fund, L.P. ("IVP XV EF"). IVM XV is the general partner of IVP XV EF. Todd C. Chaffee, Norman A. Fogelsong, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller, Dennis B. Phelps, Jr., Somesh Dash and Eric Liaw are the managing directors of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XV EF. Each of IVM XV and Messrs. Chaffee, Fogelsong, Harrick, Maltz, Miller, Phelps and Dash disclaims beneficial ownership of the shares held by IVP XV except to the extent of its or his respective pecuniary interest therein. Mr. Liaw is a director of the Issuer and files separate Section 16 reports. |
17. The shares are held of record or beneficially by IVM XV. Todd C. Chaffee, Norman A. Fogelsong, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller, Dennis B. Phelps, Jr., Somesh Dash and Eric Liaw are the managing directors of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVM XV. Each of Messrs. Chaffee, Fogelsong, Harrick, Maltz, Miller, Phelps and Dash disclaims beneficial ownership of the shares held by IVM XV except to the extent of his respective pecuniary interest therein. |
18. Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date. |
Remarks: |
/s/ Tracy Hogan, as Attorney-in-Fact for Institutional Venture Partners XIV L.P. | 09/01/2023 | |
/s/ Tracy Hogan, as Attorney-in-Fact for Institutional Venture Management XIV, LLC | 09/01/2023 | |
/s/ Tracy Hogan, as Attorney-in-Fact for Todd C. Chaffee | 09/01/2023 | |
/s/ Tracy Hogan, as Attorney-in-Fact for Somesh Dash | 09/01/2023 | |
/s/ Tracy Hogan, as Attorney-in-Fact for Norman A. Fogelsong | 09/01/2023 | |
/s/ Tracy Hogan, as Attorney-in-Fact for Stephen J. Harrick | 09/01/2023 | |
/s/ Tracy Hogan, as Attorney-in-Fact for Jules A. Maltz | 09/01/2023 | |
/s/ Tracy Hogan, as Attorney-in-Fact for J. Sanford Miller | 09/01/2023 | |
/s/ Tracy Hogan, as Attorney-in-Fact for Dennis B. Phelps, Jr. | 09/01/2023 | |
** 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 4 (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. |