0000899243-21-027374.txt : 20210702 0000899243-21-027374.hdr.sgml : 20210702 20210702194608 ACCESSION NUMBER: 0000899243-21-027374 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210702 FILED AS OF DATE: 20210702 DATE AS OF CHANGE: 20210702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lucazoom Sarl CENTRAL INDEX KEY: 0001869961 STATE OF INCORPORATION: N4 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35618 FILM NUMBER: 211072153 BUSINESS ADDRESS: STREET 1: PERMIRA LUXEMBOURG SARL STREET 2: 488, ROUTE DE LONGWY CITY: LUXEMBOURG STATE: N4 ZIP: L-1940 BUSINESS PHONE: 352-26-86-811 MAIL ADDRESS: STREET 1: PERMIRA LUXEMBOURG SARL STREET 2: 488, ROUTE DE LONGWY CITY: LUXEMBOURG STATE: N4 ZIP: L-1940 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Permira V L.P.2 CENTRAL INDEX KEY: 0001575670 STATE OF INCORPORATION: Y7 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35618 FILM NUMBER: 211072156 BUSINESS ADDRESS: STREET 1: TRAFALGAR COURT STREET 2: LES BANQUES CITY: ST PETER PORT STATE: Y7 ZIP: GY1 6DJ BUSINESS PHONE: 441481745078 MAIL ADDRESS: STREET 1: TRAFALGAR COURT STREET 2: LES BANQUES CITY: ST PETER PORT STATE: Y7 ZIP: GY1 6DJ REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Permira V G.P. L.P. CENTRAL INDEX KEY: 0001870082 STATE OF INCORPORATION: Y7 FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35618 FILM NUMBER: 211072155 BUSINESS ADDRESS: STREET 1: PERMIRA (GUERNSEY) LIMITED STREET 2: PO BOX 503 TRAFALGAR COURT, LES BANQUES CITY: ST. PETER PORT STATE: Y7 ZIP: GY1 6DJ BUSINESS PHONE: 44-1481-745-413 MAIL ADDRESS: STREET 1: PERMIRA (GUERNSEY) LIMITED STREET 2: PO BOX 503 TRAFALGAR COURT, LES BANQUES CITY: ST. PETER PORT STATE: Y7 ZIP: GY1 6DJ REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LucasZoom LLC CENTRAL INDEX KEY: 0001869984 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35618 FILM NUMBER: 211072157 BUSINESS ADDRESS: STREET 1: LUCASZOOM LLC STREET 2: 3000 SAND HILL ROAD, BUILDING 1, SUITE 1 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-681-4701 MAIL ADDRESS: STREET 1: LUCASZOOM LLC STREET 2: 3000 SAND HILL ROAD, BUILDING 1, SUITE 1 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Permira V G.P. Ltd CENTRAL INDEX KEY: 0001870063 STATE OF INCORPORATION: Y7 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35618 FILM NUMBER: 211072154 BUSINESS ADDRESS: STREET 1: PERMIRA (GUERNSEY) LIMITED STREET 2: PO BOX 503 TRAFALGAR COURT, LES BANQUES CITY: ST. PETER PORT STATE: Y7 ZIP: GY1 6DJ BUSINESS PHONE: 44-1481-745-413 MAIL ADDRESS: STREET 1: PERMIRA (GUERNSEY) LIMITED STREET 2: PO BOX 503 TRAFALGAR COURT, LES BANQUES CITY: ST. PETER PORT STATE: Y7 ZIP: GY1 6DJ ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LEGALZOOM.COM, INC. CENTRAL INDEX KEY: 0001286139 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 954752856 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 101 N. BRAND BLVD., SUITE 1100 CITY: GLENDALE STATE: CA ZIP: 91203 BUSINESS PHONE: 323-962-8600 MAIL ADDRESS: STREET 1: 101 N. BRAND BLVD., SUITE 1100 CITY: GLENDALE STATE: CA ZIP: 91203 FORMER COMPANY: FORMER CONFORMED NAME: LEGALZOOM COM INC DATE OF NAME CHANGE: 20040405 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-07-02 0 0001286139 LEGALZOOM.COM, INC. LZ 0001869984 LucasZoom LLC 3000 SAND HILL ROAD, BUILDING 1, SUITE 170 MENLO PARK CA 94025 1 0 1 0 0001575670 Permira V L.P.2 P.O. BOX 503, TRAFALGAR COURT, LES BANQUES, ST PETER PORT Y7 GY1 6DJ GUERNSEY 1 0 1 0 0001870082 Permira V G.P. L.P. P.O. BOX 503, TRAFALGAR COURT, LES BANQUES, ST PETER PORT Y7 GY1 6DJ GUERNSEY 1 0 1 0 0001870063 Permira V G.P. Ltd P.O. BOX 503, TRAFALGAR COURT, LES BANQUES, ST PETER PORT Y7 GY1 6DJ GUERNSEY 1 0 1 0 0001869961 Lucazoom Sarl 488, ROUTE DE LONGWY N4 L-1940 LUXEMBOURG 1 0 1 0 Common Stock 2021-07-02 4 C 0 36537688 0.00 A 38012988 D Series A Redeemable Convertible Preferred Stock 0.00 2021-07-02 4 C 0 18268844 0.00 D Common Stock 36537688 0 D Upon completion of the Issuer's initial public offering and concurrent private placement, the Issuer's Series A redeemable convertible preferred stock converted into the Issuer's common stock on a one-for-two basis. Following the conversion described in footnote (1), LucasZoom, LLC ("LucasZoom") is the record holder of 38,012,988 shares of the Issuer's common stock (the "Subject Securities"). Lucazoom S.a.r.l. ("Lucazoom") is the sole member of LucasZoom. Permira V L.P.2 ("Permira V") is the controlling shareholder of Lucazoom. Permira V GP L.P. ("Permira V GP") is the general partner of Permira V. Permira V GP Limited (together with Lucazoom, Permira V and Permira V GP, the "Permira Entities") is the general partner of Permira V GP. The Permira Entities may be deemed to share voting and dispositive power over the Subject Securities held by LucasZoom but disclaim such beneficial ownership except to the extent of their pecuniary interest therein. Dipan Patel and Brian Ruder currently serve on the board of directors of the Issuer as the Reporting Persons' representatives, and therefore each of the Reporting Persons may be deemed a "director by deputization" of the Issuer. /s/ Brian Ruder By: Brian Ruder, President, Chief Executive Officer and Secretary, LucasZoom, LLC 2021-07-02 /s/ Severine Michel By: Severine Michel, Manager, Lucazoom S.a.r.l 2021-07-02 /s/ Julie Preece By: Julie Preece, Director for Permira V GP Limited, general partner of Permira V GP L.P., general partner of Permira V L.P.2 2021-07-02 /s/ Julie Preece By: Julie Preece, Director for Permira V GP Limited, general partner of Permira V GP L.P. 2021-07-02 /s/ Julie Preece By: Julie Preece Director for Permira V GP Limited 2021-07-02