0001209191-23-020353.txt : 20230321
0001209191-23-020353.hdr.sgml : 20230321
20230321173429
ACCESSION NUMBER: 0001209191-23-020353
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230317
FILED AS OF DATE: 20230321
DATE AS OF CHANGE: 20230321
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FOGELSONG NORMAN A
CENTRAL INDEX KEY: 0001140932
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 23750640
MAIL ADDRESS:
STREET 1: C/O IVP
STREET 2: 3000 SAND HILL ROAD, 2-250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Phelps Dennis B
CENTRAL INDEX KEY: 0001299965
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 23750636
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: 2-250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Harrick Stephen J
CENTRAL INDEX KEY: 0001299975
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 23750639
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: 2-250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chaffee Todd C
CENTRAL INDEX KEY: 0001300134
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 23750642
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: 2-250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dash Somesh
CENTRAL INDEX KEY: 0001843938
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 23750641
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Maltz Jules A.
CENTRAL INDEX KEY: 0001553254
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 23750638
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Institutional Venture Management XV, LLC
CENTRAL INDEX KEY: 0001640275
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 23750643
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 854 0132
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Miller J Sanford
CENTRAL INDEX KEY: 0001359524
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 23750637
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
FORMER NAME:
FORMER CONFORMED NAME: Miller J Sanford (Sandy)
DATE OF NAME CHANGE: 20060414
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Lulu's Fashion Lounge Holdings, Inc.
CENTRAL INDEX KEY: 0001780201
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961]
IRS NUMBER: 208442468
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0101
BUSINESS ADDRESS:
STREET 1: 195 HUMBOLDT AVENUE
CITY: CHICO
STATE: CA
ZIP: 95928
BUSINESS PHONE: 530-343-3545
MAIL ADDRESS:
STREET 1: 195 HUMBOLDT AVENUE
CITY: CHICO
STATE: CA
ZIP: 95928
4
1
doc4.xml
FORM 4 SUBMISSION
X0407
4
2023-03-17
0
0001780201
Lulu's Fashion Lounge Holdings, Inc.
LVLU
0001640275
Institutional Venture Management XV, LLC
3000 SAND HILL ROAD BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001300134
Chaffee Todd C
3000 SAND HILL ROAD, BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001843938
Dash Somesh
300 SAND HILL ROAD, BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001140932
FOGELSONG NORMAN A
300 SAND HILL ROAD, BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001299975
Harrick Stephen J
300 SAND HILL ROAD, BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001553254
Maltz Jules A.
300 SAND HILL ROAD, BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001359524
Miller J Sanford
300 SAND HILL ROAD, BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001299965
Phelps Dennis B
3000 SAND HILL ROAD, BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0
Common Stock
2023-03-17
4
J
0
9383
A
13863
D
Common Stock
4479
I
By Institutional Venture Management XVI, LLC
Common Stock
3730160
I
By Institutional Venture Partners XV, L.P.
Common Stock
19843
I
By Institutional Venture Partners XV Executive Fund, L.P.
Common Stock
3749997
I
By Institutional Venture Partners XVI, L.P.
Represents the receipt of shares from Eric Liaw that Mr. Liaw received pursuant to the Issuer's non-employee director compensation policy. Pursuant to a series of Director Compensation Assignment Agreements, Mr. Liaw has agreed to assign the beneficial interest in any equity awards granted to him for his service as director of the Issuer to Institutional Venture Management XV, LLC ("IVM XV").
Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Eric Liaw, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps are the managing directors of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVM XV. Each of Messrs. Chaffee, Dash, Fogelsong, Harrick, Maltz, Miller and Phelps disclaims beneficial ownership of the shares held by IVM XV except to the extent of his respective proportionate pecuniary interest therein. Mr. Liaw is a director of the Issuer and files separate Section 16 reports.
The shares are held directly by Institutional Venture Management XVI, LLC ("IVM XVI"). Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Stephen J. Harrick, Eric Liaw, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps, Jr. are the managing directors of IVM XVI and may be deemed to share voting and dispositive power over the shares held by IVM XVI. Each of Messrs. Chaffee, Dash, Fogelsong, Harrick, Maltz, Miller and Phelps disclaims beneficial ownership of these securities, except to the extent of his respective proportionate pecuniary interest therein. Mr. Liaw is a director of the Issuer and files separate Section 16 reports.
The shares are held directly by Institutional Venture Partners XV, L.P. ("IVP XV"). IVM XV is the general partner of IVP XV. Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Eric Liaw, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps are the managing directors of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XV. Each of IVM XV and Messrs. Chaffee, Dash, Fogelsong, Harrick, Maltz, Miller and Phelps disclaims beneficial ownership of the shares held by IVP XV except to the extent of its or his respective proportionate pecuniary interest therein. Mr. Liaw is a director of the Issuer and files separate Section 16 reports.
The shares are held directly by Institutional Venture Partners XV Executive Fund, L.P. ("IVP XV EF"). IVM XV is the general partner of IVP XV EF. Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Eric Liaw, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps are the managing directors of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XV EF. Each of IVM XV and Messrs. Chaffee, Dash, Fogelsong, Harrick, Maltz, Miller and Phelps disclaims beneficial ownership of the shares held by IVP XV EF except to the extent of its or his respective proportionate pecuniary interest therein. Mr. Liaw is a director of the Issuer and files separate Section 16 reports.
The shares are held directly by Institutional Venture Partners XVI, L.P. ("IVP XVI"). IVM XVI is the general partner of IVP XVI. Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Eric Liaw, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps are the managing directors of IVM XVI and may be deemed to share voting and dispositive power over the shares held by IVP XVI. Each of IVM XVI and Messrs. Chaffee, Dash, Fogelsong, Harrick, Maltz, Miller and Phelps disclaims beneficial ownership of the shares held by IVP XVI except to the extent of its or his respective proportionate pecuniary interest therein. Mr. Liaw is a director of the Issuer and files separate Section 16 reports.
Institutional Venture Management XV, LLC, By: /s/Tracy Hogan, Attorney-In-Fact
2023-03-21
/s/ Tracy Hogan, Attorney-In-Fact Todd C. Chaffee
2023-03-21
/s/ Tracy Hogan, Attorney-In-Fact Somesh Dash
2023-03-21
/s/ Tracy Hogan, Attorney-In-Fact Norman A. Fogelsong
2023-03-21
/s/ Tracy Hogan, Attorney-In-Fact Stephen J. Harrick
2023-03-21
/s/ Tracy Hogan, Attorney-In-Fact Jules A. Maltz
2023-03-21
/s/ Tracy Hogan, Attorney-In-Fact Sanford J. Miller
2023-03-21
/s/ Tracy Hogan, Attorney-In-Fact Dennis B. Phelps
2023-03-21