0001104659-21-145420.txt : 20211201 0001104659-21-145420.hdr.sgml : 20211201 20211201161548 ACCESSION NUMBER: 0001104659-21-145420 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211129 FILED AS OF DATE: 20211201 DATE AS OF CHANGE: 20211201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PINNEY ALESIA LEE CENTRAL INDEX KEY: 0001235461 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41055 FILM NUMBER: 211463125 MAIL ADDRESS: STREET 1: AVALARA, INC. STREET 2: 255 SOUTH KING ST., SUITE 1800 CITY: SEATTLE STATE: WA ZIP: 98104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Winc, Inc. CENTRAL INDEX KEY: 0001782627 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-MISCELLANEOUS RETAIL [5900] IRS NUMBER: 452988896 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5340 ALLA RD., SUITE 105 CITY: LOS ANGELES, STATE: CA ZIP: 90066 BUSINESS PHONE: 408.348.0337 MAIL ADDRESS: STREET 1: 5340 ALLA RD., SUITE 105 CITY: LOS ANGELES, STATE: CA ZIP: 90066 4 1 tm2134365-3_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-11-29 0 0001782627 Winc, Inc. WBEV 0001235461 PINNEY ALESIA LEE 1751 BERKELEY ST., STUDIO 3 SANTA MONICA CA 90404 1 0 0 0 Common Stock 2021-11-29 4 A 0 12820 0 A 16878 D Represents an award of Restricted Stock Units (RSUs), which vests in full on the earlier to occur of (i) the one-year anniversary of the grant date and (ii) the date of the Issuer's next annual meeting of stockholders following the grant date, subject to continued service through the applicable vesting date. The RSUs will be settled in shares of the Issuer's common stock upon vesting. /s/ Matthew Thelen, as attorney-in-fact for Alesia Pinney 2021-12-01