Dipan Patel Form 3 LEGALZOOM.COM / Dipan Patel ownership change

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

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1. Name and Address of Reporting Person^*

Patel Dipan

(Last) (First) (Middle)

101 NORTH BRAND BOULEVARD, 11TH FLOOR

(Street)

GLENDALE CA 91203

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
06/29/2021

3. Issuer Name and Ticker or Trading Symbol
LEGALZOOM.COM, INC. [ LZ ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	X	10% Owner
	Officer (give title below)		Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

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)
Common Stock	1,475,300	I	By LucasZoom, LLC(1)

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
Series A Redeemable Convertible Preferred Stock	(2)	(2)	Common Stock	36,537,688	(2)	I	By LucasZoom, LLC(1)

Explanation of Responses:

1. Consists of the shares held by LucasZoom, LLC (collectively with its affiliated investment entities, "Permira"). The Reporting Person is a member of the investment committee of Permira and may be deemed to beneficially own the shares held by LucasZoom, LLC, but disclaims any beneficial ownership, except to the extent of any pecuniary interest therein.

2. Each share of the Issuer's Series A redeemable convertible preferred stock is convertible at any time into two shares of the Issuer's common stock at the option of the holder, and will automatically convert into shares of the Issuer's common stock on a one-for-two basis upon completion of the Issuer's initial public offering and concurrent private placement.

Remarks:

	/s/ Joseph Callaghan, Attorney-in-Fact	06/29/2021
	** 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).
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