0001209191-22-006827.txt : 20220203 0001209191-22-006827.hdr.sgml : 20220203 20220203164327 ACCESSION NUMBER: 0001209191-22-006827 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220203 DATE AS OF CHANGE: 20220203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHLOSSTEIN RALPH CENTRAL INDEX KEY: 0001059227 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32975 FILM NUMBER: 22589261 MAIL ADDRESS: STREET 1: EVERCORE PARTNERS INC. STREET 2: 55 EAST 52ND STREET, 43RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10055 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Evercore Inc. CENTRAL INDEX KEY: 0001360901 STANDARD INDUSTRIAL CLASSIFICATION: INVESTMENT ADVICE [6282] IRS NUMBER: 204748747 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 55 EAST 52ND STREET STREET 2: 38TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10055 BUSINESS PHONE: 212-857-3100 MAIL ADDRESS: STREET 1: 55 EAST 52ND STREET STREET 2: 38TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10055 FORMER COMPANY: FORMER CONFORMED NAME: Evercore Partners Inc. DATE OF NAME CHANGE: 20060427 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2021-12-31 0 0 0 0001360901 Evercore Inc. EVR 0001059227 SCHLOSSTEIN RALPH C/O EVERCORE INC. 55 EAST 52ND STREET NEW YORK NY 10055 1 1 0 0 Co-CEO/Co-Chairman Shares of Class A common stock, par value $0.01 per share 2021-03-12 5 G 0 10000 0.00 D 216248 D Shares of Class B common stock, par value $0.01 per share 1 D Shares of Class B common stock, par value $0.01 per share 1 I Share held in trust. Partnership units of Evercore LP Shares of Class A common stock, par value $0.01 per share 1500 1500 I Shares held in trust. Mr. Schlosstein has made a bona fide gift of these shares of Class A Common Stock to an unaffiliated not-for-profit institution. These securities are held in trust for the benefit of Mr. Schlosstein's family. Mr. Schlosstein disclaims beneficial ownership of these securities and the filing of this report is not an admission that Mr. Schlosstein is the beneficial owner of these securities for the purposes of Section 16 or for any other purpose. Pursuant to the Restated Certificate of Incorporation of Evercore Inc., Evercore LP partnership units are, subject to certain restrictions in the Evercore LP partnership agreement, exchangeable on a one-to-one basis for shares of Evercore Inc. Class A common stock, subject to customary conversion rate adjustments for stock splits, stock dividends and reclassifications. /s/ Jason Klurfeld, as Attorney-in-Fact 2022-02-03