SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
NUSSBAUM BENNETT

(Last) (First) (Middle)
C/O PURPLE INNOVATION, INC., 4100 N.
CHAPEL RIDGE RD., SUITE 200

(Street)
LEHI UT 84043

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Purple Innovation, Inc. [ PRPL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Interim CFO
3. Date of Earliest Transaction (Month/Day/Year)
08/19/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Cash-Settled Stock Appreciation Right $26 08/19/2021 A 20,000 (1) (1) Class A Common Stock 20,000 $0 20,000 D
Cash-Settled Stock Appreciation Right $12.6008 12/13/2021 A 20,000 (2) (2) Class A Common Stock 20,000 $0 20,000 D
Explanation of Responses:
1. If the volume weighted average price of the Company's Class A Common Stock during the 30 trading days immediately preceding August 19, 2022, or the earlier termination date of Mr. Nussbaum's service with the Company without cause, is in excess of $26.00 per share, the Company will make a cash payment to Mr. Nussbaum in an amount equal to the product of (a) the increase in the volume weighted average price of the Company's Class A Common Stock from $26.00 per share up to a maximum of $36.00 per share multiplied by (b) 20,000.
2. If Mr. Nussbaum remains in continuous service with the Company through August 19, 2022, the Company will make cash payments to Mr. Nussbaum equal, in the aggregate, to the product of (a) the excess of the closing price of the Company's Class A Common Stock on August 19, 2022 over 12.6008 multiplied by (b) 20,000. Such cash payments will be paid in equal installments over twelve months.
/s/ Casey K. McGarvey as Attorney-in-Fact 12/22/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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