SEC FORM 3

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^*

Raider Jeffrey Jacob

(Last)

(First)

(Middle)

C/O WARBY PARKER INC.

233 SPRING STREET, 6TH FLOOR EAST

(Street)

NEW YORK

10013

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
09/21/2021

3. Issuer Name and Ticker or Trading Symbol
Warby Parker Inc. [ WRBY ]

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

X	Director	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)
Class A Common Stock	450,210	D
Class A Common Stock	1,519,661⁽¹⁾	I	By Trust
Class A Common Stock	2,538,071⁽¹⁾	I	By Trust

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)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	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)
Class B Common Stock	⁽²⁾	⁽²⁾	Class A Common Stock	2,538,071⁽¹⁾	⁽²⁾	I	By Trust
Class B Common Stock	⁽²⁾	⁽²⁾	Class A Common Stock	253,808⁽¹⁾	⁽²⁾	I	By Trust

Explanation of Responses:

1. Each share of the Issuer's Class B Common Stock is convertible into one share of the Issuer's Class A Common Stock at the option of the holder and has no expiration date.

2. Consists of: (i) 1,519,661 shares of Class A common stock held by The Jeffrey J. Raider 2011 Family Trust, or the JJR 2011 Family Trust, for which Mr. Raiders spouse Laura Raider is the trustee; (ii) 2,538,071 shares of Class B common stock held by DAG WP Holdings LLC, or DAG WP LLC, for which Mr. Raider is the manager; (iii) 253,808 shares of Class B common stock held by Ruth Gilboa 2017 GST-Exempt Trust, or the Gilboa 2017 Trust, for which Mr. Raider is the trustee and (iv) 2,538,071 shares of Class A common stock held by AMH WP Holdings LLC, for which Mr. Raider is the trustee of its sole manager. Mr. Raider may be deemed to have voting power and dispositive power over the shares held by the JJR 2011 Family Trust, DAG WP LLC, the Gilboa 2017 Trust, and AMH WP Holdings LLC.

Remarks:

EXHIBIT LIST: EX-24 POA - Jacob Raider

	/s/ Hyung Bak, Attorney-in-Fact	09/21/2021
	** 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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