1. Name and Address of Reporting Person*
70 WILLOW ROAD, SUITE 100 |
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(Street)
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2. Issuer Name and Ticker or Trading Symbol
Vacasa, Inc.
[ VCSA ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 05/23/2023
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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1. Name and Address of Reporting Person*
70 WILLOW ROAD, SUITE 100 |
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(Street)
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1. Name and Address of Reporting Person*RCP III (A) Blocker Feeder L.P. |
70 WILLOW ROAD, SUITE 100 |
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(Street)
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1. Name and Address of Reporting Person*Riverwood Capital II L.P. |
70 WILLOW ROAD, SUITE 100 |
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(Street)
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1. Name and Address of Reporting Person*Riverwood Capital III L.P. |
70 WILLOW ROAD, SUITE 100 |
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(Street)
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1. Name and Address of Reporting Person*Riverwood Capital GP II Ltd. |
70 WILLOW ROAD, SUITE 100 |
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(Street)
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1. Name and Address of Reporting Person*Riverwood Capital GP III Ltd. |
70 WILLOW ROAD, SUITE 100 |
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(Street)
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1. Name and Address of Reporting Person*RW Industrious Blocker L.P. |
70 WILLOW ROAD, SUITE 100 |
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(Street)
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1. Name and Address of Reporting Person*RCP III Blocker Feeder L.P. |
70 WILLOW ROAD, SUITE 100 |
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(Street)
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1. Name and Address of Reporting Person*
70 WILLOW ROAD, SUITE 100 |
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(Street)
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1. Name and Address of Reporting Person*
70 WILLOW ROAD, SUITE 100 |
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(Street)
|
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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. |
06/16/2023 |
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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. |
06/16/2023 |
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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. |
06/16/2023 |
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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. |
06/16/2023 |
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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. |
06/16/2023 |
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By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP II Ltd., general partner of Riverwood Capital II L.P. |
06/16/2023 |
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By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP III Ltd., general partner of Riverwood Capital III L.P. |
06/16/2023 |
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By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP II Ltd. |
06/16/2023 |
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By: /s/ Jeffrey T. Parks, Director of Riverwood Capital GP III Ltd. |
06/16/2023 |
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By: /s/ Jeffrey T. Parks |
06/16/2023 |
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** 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. |