0001062993-20-005996.txt : 20201202 0001062993-20-005996.hdr.sgml : 20201202 20201202164956 ACCESSION NUMBER: 0001062993-20-005996 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201130 FILED AS OF DATE: 20201202 DATE AS OF CHANGE: 20201202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SADGER HAIM CENTRAL INDEX KEY: 0001207461 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39367 FILM NUMBER: 201364386 MAIL ADDRESS: STREET 1: C/O SEQUOIA CAPITAL STREET 2: 2800 SAND HILL RD, SUITE 101 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lemonade, Inc. CENTRAL INDEX KEY: 0001691421 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 320469673 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5 CROSBY STREET STREET 2: 3RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10013 BUSINESS PHONE: 9176089499 MAIL ADDRESS: STREET 1: 5 CROSBY STREET STREET 2: 3RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10013 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2020-11-30 0001691421 Lemonade, Inc. LMND 0001207461 SADGER HAIM C/O LEMONADE, INC. 5 CROSBY STREET, 3RD FLOOR NEW YORK NY 10013 1 0 0 0 Common Stock 2020-11-30 4 J 0 597643 D 3041173 I See footnote Common Stock 2020-11-30 4 J 0 5005 A 12544 I By estate planning vehicle Common Stock 2020-11-30 4 J 0 45910 A 115064 D Represents a distribution of Common Stock of the Issuer to partners or members and includes subsequent distributions by general partners or managing members to their respective partners or members. Shares directly held by Sequoia Capital Israel Venture V Holdings, L.P. ("Sequoia Capital Israel Venture V Holdings"). SC Israel Venture V (TTGP), Ltd. ("SC Israel Venture V (TTGP)") is the general partner of SC Israel Venture V Management, L.P., which is the general partner of Sequoia Capital Israel Venture Fund V, L.P. and Sequoia Capital Israel Venture V Principals Fund, L.P., which together own 100% of the outstanding shares of Sequoia Capital Israel Venture V Holdings. The Reporting Person serves as a member of the investment committee of SC Israel Venture V (TTGP). As such, the Reporting Person may be deemed to beneficially own the shares held by Sequoia Capital Israel Venture V Holdings. (Continued from footnote 2) The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. Represents the receipt of shares of Common Stock of the Issuer by virtue of the pro rata in-kind distributions described in footnote (1) above. By: /s/ Haim Sadger 2020-12-02