0001209191-23-032599.txt : 20230526 0001209191-23-032599.hdr.sgml : 20230526 20230526170340 ACCESSION NUMBER: 0001209191-23-032599 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230524 FILED AS OF DATE: 20230526 DATE AS OF CHANGE: 20230526 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Modersitzki Blake G CENTRAL INDEX KEY: 0001366065 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40998 FILM NUMBER: 23970095 MAIL ADDRESS: STREET 1: 2755 EAST COTTONWOOD PARKWAY STREET 2: SUITE 520 CITY: SALT LAKE CITY STATE: UT ZIP: 84121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Weave Communications, Inc. CENTRAL INDEX KEY: 0001609151 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 263302902 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1331 W POWELL WAY CITY: LEHI STATE: UT ZIP: 84043 BUSINESS PHONE: 888-579-5668 MAIL ADDRESS: STREET 1: 1331 W POWELL WAY CITY: LEHI STATE: UT ZIP: 84043 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-05-24 0 0001609151 Weave Communications, Inc. WEAV 0001366065 Modersitzki Blake G 2750 E. COTTONWOOD PARK SUITE 600 SALT LAKE CITY UT 84121 1 0 0 0 0 Common Stock 2023-05-24 4 A 0 24356 0.00 A 91714 D Common Stock 4535789 I By Pelion Ventures VI, L.P. Common Stock 310138 I By Pelion Ventures VI-A, L.P. Common Stock 530529 I By Pelion Ventures VII, L.P. Common Stock 109323 I By Pelion Ventures VII-A, L.P. Common Stock 59592 I By Pelion Ventures VII-Entrepreneurs Fund, L.P. Represents 24,356 restricted stock units (the "RSUs") granted to the Reporting Person as a director of the Issuer. Each restricted stock unit represents the right to receive one share of the Issuer's Common Stock upon vesting. The RSUs will vest in full on the earlier of (i) May 24, 2024 and (ii) the date of the first annual meeting of the Issuer's stockholders following May 24, 2023. Such grant is exempt from Section 16(b) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), in reliance on Rule 16b-3(d). Pelion Venture Partners VI, L.L.C. ("PVP VI") is the sole general partner of Pelion Ventures VI, L.P. ("PV VI") and Pelion Ventures VI-A, L.P. ("PV VI-A"). The Reporting Person is the managing director of PVP VI and PV VI-A and may be deemed to exercise voting and dispositive power over the shares held by PV VI and PV VI-A. The Reporting Person disclaims beneficial ownership of the shares held by PV VI and PV VI-A except to the extent of his pecuniary interest therein. Pelion Venture Partners VII, L.L.C. ("PVP VII") is the sole general partner of Pelion Ventures VII, L.P. ("PV VII"), Pelion Ventures VII-A, L.P. ("PV VII-A") and Pelion Ventures VII-Entrepreneurs Fund, L.P. ("PV VII-Entrepreneurs") . The Reporting Person is a managing director of PVP VII, PV VII-A and PV VII-Entrepreneurs and may be deemed to share voting and dispositive power over the shares held by PVP VII, PV VII-A and PV VII-Entrepreneurs. The Reporting Person disclaims beneficial ownership of the shares held by PVP VII, PV VII-A and PV VII-Entrepreneurs except to the extent of his pecuniary interest therein. /s/ Erin Goodsell, as Attorney-in-Fact 2023-05-26