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 Winc, Inc. [ WBEV ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 11/15/2021 | ||||||||||||||||||||||||||
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 | ||||||
Common Stock | 11/15/2021 | C(1) | 1,633,905(2) | D | (1) | 1,633,905 | I | See footnotes(2)(3) |
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 | ||||||||
Series Seed Preferred Stock | (1) | 11/15/2021 | C(1) | 161,824 | (1) | (1) | Common Stock | 161,824 | $0.00 | 0 | I | See footnotes(3)(4) | |||
Series A Preferred Stock | (1) | 11/15/2021 | C(1) | 744,732 | (1) | (1) | Common Stock | 744,732 | $0.00 | 0 | I | See footnotes(3)(5) | |||
Series B Preferred Stock | (1) | 11/15/2021 | C(1) | 524,809 | (1) | (1) | Common Stock | 524,809 | $0.00 | 0 | I | See footnotes(3)(6) | |||
Series B-1 Preferred Stock | (1) | 11/15/2021 | C(1) | 202,540 | (1) | (1) | Common Stock | 202,540 | $0.00 | 0 | I | See footnotes(3)(7) |
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. Immediately prior to the completion of the Issuer's initial public offering, each share of Series Seed Preferred Stock, Series A Preferred Stock, Series B Preferred Stock, and Series B-1 Preferred Stock (together, the "Preferred Stock") automatically converted into one share of the Issuer's Common Stock on a 1:1 basis. The Preferred Stock had no expiration date. |
2. After giving effect to the reported conversion Bessemer Venture Partners VIII Institutional L.P. ("Bessemer VIII Institutional"), 15 Angels II LLC ("15 Angels"), GoBlue Ventures LLC ("GoBlue") and Wahoowa Ventures LLC ("Wahoowa") own 461,482 shares of Common Stock, 498780 shares of Common Stock, 158,297 shares of Common Stock and 515,346 shares of Common Stock, respectively. |
3. Deer VIII & Co. Ltd. ("Deer VIII Ltd.") is the general partner of Deer VIII & Co. L.P. ("Deer VIII L.P."), which is the general partner of (a) Bessemer VIII Institutional, which is the sole member of 15 Angels and GoBlue and (b) Bessemer Venture Partners VIII L.P., which is the sole member of Wahoowa. Deer VIII Ltd. and Deer VIII L.P. disclaim beneficial ownership of the securities held by Bessemer VIII Institutional, 15 Angels, GoBlue, and Wahoowa and this report shall not be deemed an admission that Deer VIII Ltd. and Deer VIII L.P. are the beneficial owners of such securities, except to the extent of their pecuniary interest therein, if any, by virtue of their direct and indirect interests in Bessemer VIII Institutional, 15 Angels, GoBlue and Wahoowa. |
4. Prior to the conversion Bessemer VIII Institutional, 15 Angels, GoBlue and Wahoowa owned 57,500 shares of Series Seed Preferred Stock, 56,513 shares of Series Seed Preferred Stock, 0 shares of Series Seed Preferred Stock and 47,811 shares of Series Seed Preferred Stock, respectively. |
5. Prior to the conversion, Bessemer VIII Institutional, 15 Angels, GoBlue and Wahoowa owned 264,620 shares of Series A Preferred Stock, 260,080 shares of Series A Preferred Stock, 0 shares of Series A Preferred Stock and 220,032 shares of Series A Preferred Stock, respectively. |
6. Prior to the conversion, Bessemer VIII Institutional, 15 Angels, GoBlue and Wahoowa owned 139,362 shares of Series B Preferred Stock, 182,187 shares of Series B Preferred Stock, 47,710 shares of Series B Preferred Stock and 155,550 shares of Series B Preferred Stock, respectively. |
7. Prior to the conversion, Bessemer VIII Institutional, 15 Angels, GoBlue and Wahoowa owned 0 shares of Series B-1 Preferred Stock, 0 shares of Series B-1 Preferred Stock, 110,587 shares of Series B-1 Preferred Stock and 91,953 shares of Series B-1 Preferred Stock, respectively. |
Remarks: |
/s/ Scott Ring, General Counsel, Deer VIII & Co. Ltd., the General Partner of Deer VIII & Co. L.P., the General Partner of Bessemer Venture Partners VIII Institutional L.P. | 11/17/2021 | |
/s/ Scott Ring, General Counsel, Deer VIII & Co. Ltd., the General Partner of Deer VIII & Co. L.P. | 11/17/2021 | |
/s/ Scott Ring, General Counsel, Deer VIII & Co. Ltd., | 11/17/2021 | |
/s/ Scott Ring, Authorized Person 15 Angels II LLC | 11/17/2021 | |
/s/ Scott Ring, Authorized Person, GoBlue Ventures LLC | 11/17/2021 | |
/s/ Scott Ring, Authorized Person, Wahoowa Ventures LLC | 11/17/2021 | |
** 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. |