0001609151-24-000067.txt : 20240528
0001609151-24-000067.hdr.sgml : 20240528
20240528155315
ACCESSION NUMBER: 0001609151-24-000067
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240522
FILED AS OF DATE: 20240528
DATE AS OF CHANGE: 20240528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Modersitzki Blake G
CENTRAL INDEX KEY: 0001366065
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40998
FILM NUMBER: 24991471
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]
ORGANIZATION NAME: 06 Technology
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
wk-form4_1716925987.xml
FORM 4
X0508
4
2024-05-22
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
2024-05-22
4
A
0
19383
0
A
111097
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 19,383 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 22, 2025 and (ii) the date of the first annual meeting of the Issuer's stockholders following May 22, 2024. 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
2024-05-24