0001628280-21-022627.txt : 20211109 0001628280-21-022627.hdr.sgml : 20211109 20211109184512 ACCESSION NUMBER: 0001628280-21-022627 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211109 FILED AS OF DATE: 20211109 DATE AS OF CHANGE: 20211109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Unameit Trust under Declaration of Trust dated March 10, 2000 CENTRAL INDEX KEY: 0001892240 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41043 FILM NUMBER: 211393696 BUSINESS ADDRESS: STREET 1: THREE LAGOON DRIVE STREET 2: SUITE 400 CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: (650) 365-4646 MAIL ADDRESS: STREET 1: THREE LAGOON DRIVE STREET 2: SUITE 400 CITY: REDWOOD CITY STATE: CA ZIP: 94065 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DeMartini James G B III CENTRAL INDEX KEY: 0001892193 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41043 FILM NUMBER: 211393697 MAIL ADDRESS: STREET 1: THREE LAGOON DRIVE STREET 2: SUITE 400 CITY: REDWOOD CITY STATE: CA ZIP: 94065 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FBHR Associates LLC CENTRAL INDEX KEY: 0001892268 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41043 FILM NUMBER: 211393699 BUSINESS ADDRESS: STREET 1: THREE LAGOON DRIVE STREET 2: SUITE 400 CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: (650) 365-4646 MAIL ADDRESS: STREET 1: THREE LAGOON DRIVE STREET 2: SUITE 400 CITY: REDWOOD CITY STATE: CA ZIP: 94065 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hillsven LLC CENTRAL INDEX KEY: 0001892243 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41043 FILM NUMBER: 211393698 BUSINESS ADDRESS: STREET 1: THREE LAGOON DRIVE STREET 2: SUITE 400 CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: (650) 365-4646 MAIL ADDRESS: STREET 1: THREE LAGOON DRIVE STREET 2: SUITE 400 CITY: REDWOOD CITY STATE: CA ZIP: 94065 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Expensify, Inc. CENTRAL INDEX KEY: 0001476840 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 270239450 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 401 SW 5TH AVENUE CITY: PORTLAND STATE: OR ZIP: 97204 BUSINESS PHONE: (520) 271-0858 MAIL ADDRESS: STREET 1: 401 SW 5TH AVENUE CITY: PORTLAND STATE: OR ZIP: 97204 3 1 wf-form3_163650149571697.xml FORM 3 X0206 3 2021-11-09 0 0001476840 Expensify, Inc. [EXFY] 0001892243 Hillsven LLC THREE LAGOON DR., SUITE 400 REDWOOD CITY CA 94065 0 0 1 0 0001892268 FBHR Associates LLC THREE LAGOON DR., SUITE 400 REDWOOD CITY CA 94065 0 0 1 0 0001892193 DeMartini James G B III THREE LAGOON DR., SUITE 400 REDWOOD CITY CA 94065 0 0 1 0 0001892240 Unameit Trust under Declaration of Trust dated March 10, 2000 THREE LAGOON DR., SUITE 400 REDWOOD CITY CA 94065 0 0 1 0 Series A Convertible Preferred Stock Class A Common Stock 6659530.0 D Series B Convertible Preferred Stock Class A Common Stock 3270280.0 D Series B-1 Convertible Preferred Stock Class A Common Stock 487100.0 D Series C Convertible Preferred Stock Class A Common Stock 731410.0 D Each share of Convertible Preferred Stock was initially convertible on a one-for-one basis into the Issuer's Class A Common Stock at any time at the holder's election and has no expiration date. The number of underlying shares of common stock reported in Column 3 gives effect to a 10-for-1 forward stock split effective as of October 27, 2021, pursuant to which each share of Convertible Preferred Stock became convertible into 10 shares of Class A Common Stock. The Convertible Preferred Stock will convert automatically upon closing of the Issuer's initial public offering. FBHR Associates, LLC is the manager of Hillsven, LLC and in such capacity may be deemed to share voting and investment power over such securities. James G.B. DeMartini, III, as trustee of Unameit Trust, is the manager of FBHR Associates, LLC, and in such capacity may be deemed to share voting and investment power over such securities. /s/ James G.B. DeMartini, III, Managing Member of Hillsven LLC 2021-11-09 /s/ James G.B. DeMartini, III, trustee of Unameit Trust, Managing Member of FBHR Associates LLC 2021-11-09 /s/ James G.B. DeMartini, III, trustee of Unameit Trust 2021-11-09 /s/ James G.B. DeMartini, III 2021-11-09