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*
Stibel Jeffrey M

(Last) (First) (Middle)
101 NORTH BRAND BOULEVARD, 11TH FLOOR

(Street)
GLENDALE CA 91203

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
LEGALZOOM.COM, INC. [ LZ ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
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)
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
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)
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).
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