0001214659-21-013375.txt : 20211217 0001214659-21-013375.hdr.sgml : 20211217 20211217183639 ACCESSION NUMBER: 0001214659-21-013375 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211215 FILED AS OF DATE: 20211217 DATE AS OF CHANGE: 20211217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HEALY ELAINE CENTRAL INDEX KEY: 0001275537 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40750 FILM NUMBER: 211503104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Consensus Cloud Solutions, Inc. CENTRAL INDEX KEY: 0001866633 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 700 S. FLOWER STREET STREET 2: LEGAL DEPT - 15TH FLOOR CITY: LOS ANGELES STATE: CA ZIP: 90017 BUSINESS PHONE: 3238609200 MAIL ADDRESS: STREET 1: 700 S. FLOWER STREET STREET 2: LEGAL DEPT - 15TH FLOOR CITY: LOS ANGELES STATE: CA ZIP: 90017 4/A 1 marketforms-54727.xml PRIMARY DOCUMENT X0306 4/A 2021-12-15 2021-12-17 0001866633 Consensus Cloud Solutions, Inc. CCSI 0001275537 HEALY ELAINE C/O CONSENSUS CLOUD SOLUTIONS, INC. 700 S. FLOWER STREET, 15TH FLOOR LOS ANGELES CA 90017 true false false false Restricted Stock Units 0 2021-12-15 4 A false 3500 0 A Common Stock 3500 3500 D Restricted Stock Unit awarded under the Issuer's 2021 Stock Plan. This amended Form corrects the number of granted shares reported on the Form 4 filed December 17, 2021. Shares will vest one year from grant date. Shares will be forfeited if the Reporting Person is no longer serving as a Director at vest. /s/ Vithya Aubee, Attorney-in-Fact 2021-12-17