SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 03/24/2021 | 3. Issuer Name and Ticker or Trading Symbol Vizio Holding Corp. [ VZIO ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
---|---|---|---|
1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A Common Stock | 2,182,500(1) | D | |
Class A Common Stock | 65,143,449 | I | See Footnote(2) |
Class A Common Stock | 4,543,425 | I | See Footnote(3) |
Class A Common Stock | 2,563,605 | I | See Footnote(4) |
Class A Common Stock | 6,300,000 | I | See Footnote(5) |
Class A Common Stock | 4,809,915 | I | See Footnote(6) |
Class A Common Stock | 4,543,425 | I | See Footnote(7) |
Class A Common Stock | 2,563,605 | I | See Footnote(8) |
Class A Common Stock | 3,955,644 | I | See Footnote(9) |
Class A Common Stock | 3,336,957 | I | See Footnote(10) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. Certain of these securities are restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of Class A Common Stock, subject to the applicable vesting schedule and conditions of each RSU. |
2. These shares are held by The William W. Wang Separate Property Trust, of which the Reporting Person serves as Trustee. |
3. These shares are held by the 2009 W. Wang GRAT, of which the Reporting Person's sister serves as Trustee. |
4. These shares are held by the 2015 W. Wang GRAT, of which the Reporting Person serves as Trustee. |
5. These shares are held by the W. Wang 2021 GRAT, dated February 22, 2021, of which the Reporting Person serves as Trustee. |
6. These shares are held by the Wang Family Trust, of which the Reporting Person and his spouse serve as Trustees. |
7. These shares are held by the 2009 S. Wang GRAT, of which the Reporting Person's sister serves as Trustee. |
8. These shares are held by the 2015 S. Wang GRAT, of which the Reporting Person's spouse serves as Trustee. |
9. These shares are held by the Wang Insurance Trust, of which the Reporting Person's sister serves as Trustee. |
10. These shares are held by the Wang Insurance Trust #2, of which the Reporting Person's spouse serves as Trustee. |
Remarks: |
Exhibit 24 - Power of Attorney |
/s/ Scott Becker, under power of attorney | 03/24/2021 | |
** 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 5 (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. |