0001209191-15-074078.txt : 20151005 0001209191-15-074078.hdr.sgml : 20151005 20151005181220 ACCESSION NUMBER: 0001209191-15-074078 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151001 FILED AS OF DATE: 20151005 DATE AS OF CHANGE: 20151005 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: zulily, inc. CENTRAL INDEX KEY: 0001478484 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 271202150 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 2601 ELLIOTT AVENUE, SUITE 200 CITY: SEATTLE STATE: WA ZIP: 98121 BUSINESS PHONE: (877) 779-5614 MAIL ADDRESS: STREET 1: 2601 ELLIOTT AVENUE, SUITE 200 CITY: SEATTLE STATE: WA ZIP: 98121 FORMER COMPANY: FORMER CONFORMED NAME: Zulily, Inc. DATE OF NAME CHANGE: 20091217 FORMER COMPANY: FORMER CONFORMED NAME: BSI Holdings, Inc. DATE OF NAME CHANGE: 20091210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARLBORG W ERIC CENTRAL INDEX KEY: 0001191203 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36188 FILM NUMBER: 151144473 MAIL ADDRESS: STREET 1: PROVIDE COMMERCE, INC. STREET 2: 5005 WATERIDGE VISTA DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92121 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-10-01 1 0001478484 zulily, inc. ZU 0001191203 CARLBORG W ERIC 2480 SAND HILL ROAD, SUITE #101 MENLO PARK CA 94025 1 0 0 0 Stock Option (Right to Buy) 0.24 2015-10-01 4 D 0 275000 D 2020-10-24 Class B Common Stock 275000 0 D Stock Option (Right to Buy) 40.70 2015-10-01 4 D 0 3736 D 2024-02-20 Class A Common Stock 3736 0 D Stock Option (Right to Buy) 34.60 2015-10-01 4 D 0 6217 D 2024-05-18 Class A Common Stock 6217 0 D Stock Option (Right to Buy) 34.60 2015-10-01 4 D 0 3219 D 2024-05-18 Class A Common Stock 3219 0 D Stock Option (Right to Buy) 13.28 2015-10-01 4 D 0 20219 D 2025-05-13 Class A Common Stock 20219 0 D Stock Option (Right to Buy) 13.28 2015-10-01 4 D 0 10368 D 2025-05-13 Class A Common Stock 10368 0 D Per the terms of the Agreement and Plan of Reorganization, dated August 16, 2015, by and among the Issuer, Liberty Interactive Corporation, a Delaware corporation, Mocha Merger Sub, Inc., a Delaware corporation, and Ziggy Merger Sub, LLC, a Delaware limited liability company (the "Agreement"), this option was assumed by Liberty Interactive Corporation and became an option to purchase a number of shares of Liberty Interactive Corporation's Series A QVC Group Common Stock equal to (i) the number of shares set forth in Column 5 of Table II multiplied by (ii) the Conversion Ratio (as described below) and rounding the resulting number down to the nearest whole number of shares of Liberty Interactive Corporation's Series A QVC Group Common Stock. This option's exercise price per share was also adjusted by dividing the exercise price set forth in Column 2 of Table II by the Conversion Ratio, and rounding the resulting exercise price up to the nearest whole cent. The Conversion Ratio equals (a) 0.3098 plus (b) the quotient of $9.375 divided by the volume weighted average closing sale price of one share of Liberty Interactive Corporation's Series A QVC Group Common Stock as reported over the ten consecutive trading day period ending on and including September 29, 2015. The vesting schedule of the option remains unchanged. Each share of Class B Common Stock was convertible at any time at the option of the holder into one share of Class A Common Stock. In addition, each share of Class B Common Stock would have converted automatically into one share of Class A Common Stock upon any transfer, whether or not for value and whether voluntary or involuntary or by operation of law, except for certain transfers described in the Issuer's Amended and Restated Certificate of Incorporation, including, without limitation, certain transfers for tax and estate planning purposes. /s/ Brian Woodard, Attorney-in-Fact 2015-10-05