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)
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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) 06/06/2023 | ||||||||||||||||||||||||||
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 | 16,751 | D | ||||||||
Class A Common Stock | 870,600 | I | Accel Growth Fund Investors 2010 L.L.C.(1) | |||||||
Class A Common Stock | 12,808,246 | I | Accel Growth Fund L.P.(2) | |||||||
Class A Common Stock | 250,729 | I | Accel Growth Fund Strategic Partners L.P(3) | |||||||
Class A Common Stock | 21,982 | I | Accel Leaders 3 Entrepreneurs L.P.(4) | |||||||
Class A Common Stock | 31,686 | I | Accel Leaders 3 Investors (2020) L.P.,(5) | |||||||
Class A Common Stock | 530,953 | I | Accel Leaders 3 L.P.(6) | |||||||
Class A Common Stock | 32,439 | I | AKB Living Trust(7) |
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 | ||||||||
Restricted Stock Units | $0.00 | 06/06/2023 | A | 8,639 | (8) | (8) | Common Stock | 8,639 | $0.00 | 8,639 | D |
Explanation of Responses: |
1. 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. |
2. 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. |
3. 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. |
4. The shares are held of record by Accel Leaders 3 Entrepreneurs L.P. Accel Leaders 3 GP Associates L.L.C. ("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. Andrew Braccia disclaims ownership of all such shares except to the extent that he has a pecuniary interest therein. |
5. 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. Andrew Braccia disclaims ownership of all such shares except to the extent that he has a pecuniary interest therein. |
6. The shares are held of record by Accel Leaders 3 L.P. 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. Andrew Braccia disclaims ownership of all such shares except to the extent that he has a pecuniary interest therein. |
7. These securities are held of record by AKB Living Trust of which Andrew Braccia is a trustee. |
8. On June 6, 2023, the reporting person received a grant of 8,639 restricted stock units, which vests on June 6, 2024, subject to continued service through the applicable vesting date. |
Remarks: |
The shares reported as indirectly beneficially owned in Table I of this Form 4 were inadvertently omitted from the Form 4 filed on June 5, 2023. |
/s/ Allyson Wilkinson, as Attorney-in-Fact | 06/08/2023 | |
** 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. |