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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
LEGALZOOM.COM, INC. [ LZ ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 06/07/2022 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | ||||||
Common Stock | 06/07/2022 | J(1)(2) | 10,839,532(3) | D | $0 | 0 | I | By BSG and Fund I | ||
Common Stock | 06/07/2022 | J(2) | 45,997 | A | $0 | 102,445 | D | |||
Common Stock | 06/07/2022 | J(1)(2) | 294,326 | A | $0 | 294,326 | I | By Escondido Children's Trust(4) | ||
Common Stock | 06/07/2022 | J(1)(2) | 537,779 | A | $0 | 537,779 | I | By Travron Trust(4) | ||
Common Stock | 06/07/2022 | J(1) | 2,807,719 | A | $0 | 2,807,719 | I | By CES 2020 Trust(4) | ||
Common Stock | 06/07/2022 | J(1) | 2,807,719 | A | $0 | 2,807,719 | I | By JMS 2020 Trust(4) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 | ||||||||
Stock Option (Right to Buy) | $0.34 | (5) | 10/23/2024 | Common Stock | 13,584 | 13,584 | I | By Fund I(3)(4) | |||||||
Stock Option (Right to Buy) | $0.34 | (5) | 10/23/2024 | Common Stock | 62,112 | 62,112 | D |
Explanation of Responses: |
1. Shares were distributed to members of Bryant Stibel Growth, LLC ("BSG") and not purchased or sold. On June 7, 2022, BSG initiated an in-kind distribution, without any additional consideration, of 10,629,008 shares of LegalZoom.com, Inc. ("LZ") common stock to its members, which ultimately resulted in 284,326 shares distributed to Escondido Children's Trust, 532,779 shares distributed to Travron Trust, 2,807,719 shares distributed to CES 2020 Trust, and 2,807,719 shares distributed to JMS 2020 Trust, and the remaining shares were distributed to its other members. The Reporting Person disclaims beneficial ownership of securities held by Escondido Children's Trust, Travron Trust, and CES 2020 Trust, except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or for any other purpose. |
2. Shares were distributed to members of Bryant Stibel Fund I, LLC ("Fund I") and not purchased or sold. On June 7, 2022, Fund I initiated an in-kind distribution, without any additional consideration, of 210,524 shares of LZ common stock to its members, which ultimately resulted in 45,997 shares distributed to the Reporting Person, 10,000 shares distributed to Escondido Children's Trust, and 5,000 shares distributed to Travron Trust, and the remaining shares were distributed to its other members. The Reporting Person disclaims beneficial ownership of securities held by Escondido Children's Trust and Travron Trust, except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or for any other purpose. |
3. Due to administrative error, the Form 3 filed by the Reporting Person on June 29, 2021 mistakenly reported 13,584 stock options held by Fund I in Table I. The Reporting Person is the manager of Carbon Investments, LLC, which is a co-manager of Fund I. |
4. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all of the reported securities for purposes of Section 16 or for any other purpose. |
5. The options in this row are fully vested. |
Remarks: |
Exhibit 24 Power of Attorney |
Nicole Miller, Attorney-in-Fact for Jeffrey M. Stibel | 06/09/2022 | |
** 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |