1. Name and Address of Reporting Person*General Catalyst Group V LP | 20 UNIVERSITY ROAD, 4TH FLOOR | | (Street) | 2. Issuer Name and Ticker or Trading Symbol Warby Parker Inc. [ WRBY ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) | Director | X | 10% Owner | | Officer (give title below) | | Other (specify below) | | |
3. Date of Earliest Transaction (Month/Day/Year) 10/08/2021 |
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line) | Form filed by One Reporting Person | X | Form filed by More than One Reporting Person | |
1. Name and Address of Reporting Person*General Catalyst Group V LP | 20 UNIVERSITY ROAD, 4TH FLOOR | | (Street) |
1. Name and Address of Reporting Person*General Catalyst Group V Supplemental LP | 20 UNIVERSITY ROAD, 4TH FLOOR | | (Street) |
1. Name and Address of Reporting Person* 20 UNIVERSITY ROAD, 4TH FLOOR | | (Street) |
1. Name and Address of Reporting Person* 20 UNIVERSITY ROAD, 4TH FLOOR | | (Street) |
1. Name and Address of Reporting Person*GC Venture V Manager, LLC | 20 UNIVERSITY ROAD, 4TH FLOOR | | (Street) |
1. Name and Address of Reporting Person*General Catalyst Partners V, L.P. | 20 UNIVERSITY ROAD, 4TH FLOOR | | (Street) |
| General Catalyst Group V, L.P., General Catalyst Partners V, L.P., General Catalyst GP V, LLC, General Catalyst Group Management LLC, General Catalyst, Group Management Holdings GP, LLC, /s/ Christopher McCain | 10/13/2021 |
| General Catalyst Group V Supplemental, L.P., General Catalyst Partners V, L.P., General Catalyst GP V, LLC, General Catalyst Group Management LLC, General Catalyst, Group Management Holdings GP, LLC, /s/ Christopher McCain | 10/13/2021 |
| GC Venture V, LLC, GC Venture V Manager, LLC, General Catalyst Group Management, LLC, General Catalyst Group Management Holdings, L.P., General Catalyst Group Management Holdings GP, LLC, /s/ Christopher McCain | 10/13/2021 |
| GC Venture V-B, LLC, GC Venture V Manager, LLC, General Catalyst Group Management, LLC, General Catalyst Group Management Holdings, L.P., General Catalyst Group Management Holdings GP, LLC, /s/ Christopher McCain | 10/13/2021 |
| GC Venture V Manager, LLC, General Catalyst Group Management, LLC, General Catalyst Group Management Holdings, L.P., General Catalyst Group Management Holdings GP, LLC, /s/ Christopher McCain | 10/13/2021 |
| General Catalyst Partners V, L.P., General Catalyst GP V, LLC, General Catalyst Group Management LLC, General Catalyst, Group Management Holdings GP, LLC, /s/ Christopher McCain | 10/13/2021 |
| ** 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. |