1. Name and Address of Reporting Person* 70 WILLOW ROAD, SUITE 100 | | (Street) | 2. Issuer Name and Ticker or Trading Symbol Vacasa, Inc. [ VCSA ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X | Director | X | 10% Owner | | Officer (give title below) | | Other (specify below) | | |
3. Date of Earliest Transaction (Month/Day/Year) 05/24/2022 |
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* 70 WILLOW ROAD, SUITE 100 | | (Street) |
1. Name and Address of Reporting Person*RCP III (A) Blocker Feeder L.P. | 70 WILLOW ROAD, SUITE 100 | | (Street) |
1. Name and Address of Reporting Person*Riverwood Capital II L.P. | 70 WILLOW ROAD, SUITE 100 | | (Street) |
1. Name and Address of Reporting Person*Riverwood Capital III L.P. | 70 WILLOW ROAD, SUITE 100 | | (Street) |
1. Name and Address of Reporting Person*Riverwood Capital GP II Ltd. | 70 WILLOW ROAD, SUITE 100 | | (Street) |
1. Name and Address of Reporting Person*Riverwood Capital GP III Ltd. | 70 WILLOW ROAD, SUITE 100 | | (Street) |
1. Name and Address of Reporting Person*RW Industrious Blocker L.P. | 70 WILLOW ROAD, SUITE 100 | | (Street) |
1. Name and Address of Reporting Person*RCP III Blocker Feeder L.P. | 70 WILLOW ROAD, SUITE 100 | | (Street) |
1. Name and Address of Reporting Person* 70 WILLOW ROAD, SUITE 100 | | (Street) |
1. Name and Address of Reporting Person* 70 WILLOW ROAD, SUITE 100 | | (Street) |
| By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP II Ltd., general partner of Riverwood Capital II L.P., general partner of RW Industrious Blocker L.P. | 05/26/2022 |
| By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP II Ltd., general partner of Riverwood Capital II L.P., general partner of RW Vacasa AIV L.P. | 05/26/2022 |
| By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP III Ltd., general partner of Riverwood Capital III L.P., general partner of RCP III (A) Blocker Feeder L.P. | 05/26/2022 |
| By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP III Ltd., general partner of Riverwood Capital III L.P., general partner of RCP III Blocker Feeder L.P. | 05/26/2022 |
| By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP III Ltd., general partner of Riverwood Capital III L.P., general partner of RCP III Vacasa AIV L.P. | 05/26/2022 |
| By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP II Ltd., general partner of Riverwood Capital II L.P. | 05/26/2022 |
| By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP III Ltd., general partner of Riverwood Capital III L.P. | 05/26/2022 |
| By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP II Ltd. | 05/26/2022 |
| By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP III Ltd. | 05/26/2022 |
| By: /s/ Jeffrey T. Parks | 05/26/2022 |
| ** 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. |