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 |
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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 Squarespace, Inc. [ SQSP ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 06/11/2021 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | 06/11/2021 | J(1) | 31,250 | D | $0 | 901,850 | D(2) | |||
Class A Common Stock | 06/11/2021 | J(3) | 459,750 | D | $0 | 13,267,996 | I | Accel Growth Fund L.P.(4) | ||
Class A Common Stock | 06/11/2021 | J(5) | 9,000 | D | $0 | 259,729 | I | Accel Growth Fund Strategic Partners L.P.(6) | ||
Class A Common Stock | 06/14/2021 | J(1) | 31,250 | D | $0 | 870,600 | D(2) | |||
Class A Common Stock | 06/14/2021 | J(3) | 459,750 | D | $0 | 12,808,246 | I | Accel Growth Fund L.P.(4) | ||
Class A Common Stock | 06/14/2021 | J(5) | 9,000 | D | $0 | 250,729 | I | Accel Growth Fund Strategic Partners L.P.(6) | ||
Class A Common Stock | 530,953 | I | Accel Leaders 3 L.P.(7) | |||||||
Class A Common Stock | 21,982 | I | Accel Leaders 3 Entrepreneurs L.P(8) | |||||||
Class A Common Stock | 31,686 | I | Accel Leaders 3 Investors (2020) L.P.(9) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. Accel Growth Fund Investors 2010 L.L.C. distributed, for no consideration, 31,250 shares of Class A Common Stock of the Issuer to its members, representing each such member's pro rata interest in such shares. All of the aforementioned distributions were made in accordance with the exemptions afforded by Rules 16a-13 and 16a-9 of the Securities Exchange Act of 1934, as amended. |
2. The shares are held of record by Accel Growth Fund Investors 2010 L.L.C. Andrew Braccia, Kevin Efrusy, Sameer Gandhi, Ping Li, Tracy Sedlock and Richard Wong are the managing members of Accel Growth Fund Investors 2010 L.L.C. Each managing member disclaims beneficial ownership except to the extent of their pecuniary interest therein. |
3. Accel Growth Fund L.P. distributed, for no consideration, 459,750 shares of Class A Common Stock of the Issuer to its partners, representing each such partner's pro rata interest in such shares. All of the aforementioned distributions were made in accordance with the exemptions afforded by Rules 16a-13 and 16a-9 of the Securities Exchange Act of 1934, as amended. |
4. The shares are held of record by Accel Growth Fund L.P. Accel Growth Fund Associates L.L.C. ("AGFA") is the general partner of Accel Growth Fund L.P. Andrew Braccia, Kevin Efrusy, Sameer Gandhi, Ping Li, Tracy Sedlock and Richard Wong are the managing members of AGFA. Each managing member disclaims beneficial ownership except to the extent of their pecuniary interest therein. |
5. Accel Growth Fund Strategic Partners L.P. distributed, for no consideration, 9,000 shares of Class A Common Stock of the Issuer to its partners, representing each such partner's pro rata interest in such shares. All of the aforementioned distributions were made in accordance with the exemptions afforded by Rules 16a-13 and 16a-9 of the Securities Exchange Act of 1934, as amended. |
6. The shares are held of record by Accel Growth Fund Strategic Partners L.P. AGFA is the general partner of Accel Growth Fund Strategic Partners L.P. Andrew Braccia, Kevin Efrusy, Sameer Gandhi, Ping Li, Tracy Sedlock and Richard Wong are the managing members of AGFA. Each managing member disclaims beneficial ownership except to the extent of their pecuniary interest therein. |
7. The shares are held of record by Accel Leaders 3 L.P. Accel Leaders 3 GP Associates L.L.C. ("AL3A") is the general partner of the general partner of Accel Leaders 3 L.P. Andrew Braccia, Sameer Gandhi, Ping Li, Tracy Sedlock, Ryan Sweeney and Richard Wong are the directors of AL3A. Each director disclaims ownership of all such shares except to the extent that he has a pecuniary interest therein. |
8. The shares are held of record by Accel Leaders 3 Entrepreneurs L.P. AL3A is the general partner of the general partner of Accel Leaders 3 Entrepreneurs L.P. Andrew Braccia, Sameer Gandhi, Ping Li, Tracy Sedlock, Ryan Sweeney and Richard Wong are the directors of AL3A. Each director disclaims ownership of all such shares except to the extent that he has a pecuniary interest therein. |
9. The shares are held of record by Accel Leaders 3 Investors (2020) L.P. AL3A is the general partner of Accel Leaders 3 Investors (2020) L.P. Andrew Braccia, Sameer Gandhi, Ping Li, Tracy Sedlock, Ryan Sweeney and Richard Wong are the directors of AL3A. Each director disclaims ownership of all such shares except to the extent that he has a pecuniary interest therein. |
/s/ Tracy L. Sedlock, as attorney in fact | 06/15/2021 | |
/s/ Tracy L. Sedlock, as attorney in fact | 06/15/2021 | |
/s/ Tracy L. Sedlock, as attorney in fact | 06/15/2021 | |
/s/ Tracy L. Sedlock, as attorney in fact | 06/15/2021 | |
/s/ Tracy L. Sedlock, as attorney in fact | 06/15/2021 | |
/s/ Tracy L. Sedlock, as attorney in fact | 06/15/2021 | |
/s/ Tracy L. Sedlock, as attorney in fact | 06/15/2021 | |
/s/ Tracy L. Sedlock, as attorney in fact | 06/15/2021 | |
** 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. |