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