0001140361-22-005416.txt : 20220214
0001140361-22-005416.hdr.sgml : 20220214
20220214173417
ACCESSION NUMBER: 0001140361-22-005416
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210630
FILED AS OF DATE: 20220214
DATE AS OF CHANGE: 20220214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Wilde Peter Osgood Jr.
CENTRAL INDEX KEY: 0001477189
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40575
FILM NUMBER: 22635309
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE EQUITY PARTNERS
STREET 2: 50 KENNEDY PLAZA
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Providence Strategic Growth II-A L.P.
CENTRAL INDEX KEY: 0001669686
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40575
FILM NUMBER: 22635313
BUSINESS ADDRESS:
STREET 1: C/O PROVIDENCE STRATEGIC GROWTH CAPITAL
STREET 2: 50 KENNEDY PLAZA, 18TH FLOOR
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
BUSINESS PHONE: (401) 751-1700
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE STRATEGIC GROWTH CAPITAL
STREET 2: 50 KENNEDY PLAZA, 18TH FLOOR
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Providence Strategic Growth II L.P.
CENTRAL INDEX KEY: 0001669762
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40575
FILM NUMBER: 22635314
BUSINESS ADDRESS:
STREET 1: C/O PROVIDENCE STRATEGIC GROWTH CAPITAL
STREET 2: 50 KENNEDY PLAZA, 18TH FLOOR
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
BUSINESS PHONE: (401) 751-1700
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE STRATEGIC GROWTH CAPITAL
STREET 2: 50 KENNEDY PLAZA, 18TH FLOOR
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PSG Ultimate GP Managing Member L.L.C.
CENTRAL INDEX KEY: 0001865974
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40575
FILM NUMBER: 22635315
BUSINESS ADDRESS:
STREET 1: C/O PROVIDENCE STRATEGIC GROWTH CAPITAL
STREET 2: 50 KENNEDY PLAZA, 18TH FLOOR
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
BUSINESS PHONE: (401) 751-1700
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE STRATEGIC GROWTH CAPITAL
STREET 2: 50 KENNEDY PLAZA, 18TH FLOOR
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Providence Strategic Growth III-A L.P.
CENTRAL INDEX KEY: 0001721414
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40575
FILM NUMBER: 22635311
BUSINESS ADDRESS:
STREET 1: PROVIDENCE STRATEGIC GROWTH CAPITAL
STREET 2: 50 KENNEDY PLAZA
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
BUSINESS PHONE: 401-751-1700
MAIL ADDRESS:
STREET 1: PROVIDENCE STRATEGIC GROWTH CAPITAL
STREET 2: 50 KENNEDY PLAZA
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Providence Strategic Growth III L.P.
CENTRAL INDEX KEY: 0001721446
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40575
FILM NUMBER: 22635312
BUSINESS ADDRESS:
STREET 1: PROVIDENCE STRATEGIC GROWTH CAPITAL
STREET 2: 50 KENNEDY PLAZA
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
BUSINESS PHONE: 401-751-1700
MAIL ADDRESS:
STREET 1: PROVIDENCE STRATEGIC GROWTH CAPITAL
STREET 2: 50 KENNEDY PLAZA
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PSG PS Co-Investors L.P.
CENTRAL INDEX KEY: 0001689381
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40575
FILM NUMBER: 22635310
BUSINESS ADDRESS:
STREET 1: C/O PROVIDENCE STRATEGIC GGRWTH CAPITAL
STREET 2: 50 KENNEDY PLAZA, 19TH FLOOR
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
BUSINESS PHONE: 401-751-1700
MAIL ADDRESS:
STREET 1: C/O PROVIDENCE STRATEGIC GGRWTH CAPITAL
STREET 2: 50 KENNEDY PLAZA, 19TH FLOOR
CITY: PROVIDENCE
STATE: RI
ZIP: 02903
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: EverCommerce Inc.
CENTRAL INDEX KEY: 0001853145
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 814063428
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3601 WALNUT STREET
STREET 2: SUITE 400
CITY: DENVER
STATE: CO
ZIP: 80205
BUSINESS PHONE: 720-647-4948
MAIL ADDRESS:
STREET 1: 3601 WALNUT STREET
STREET 2: SUITE 400
CITY: DENVER
STATE: CO
ZIP: 80205
3/A
1
form3.xml
FORM 3/A
X0206
3/A
2021-06-30
2021-07-01
0
0001853145
EverCommerce Inc.
EVCM
0001865974
PSG Ultimate GP Managing Member L.L.C.
401 PARK DRIVE
SUITE 204
BOSTON
MA
02215
true
true
0001669762
Providence Strategic Growth II L.P.
401 PARK DRIVE
SUITE 204
BOSTON
MA
02215
true
0001669686
Providence Strategic Growth II-A L.P.
401 PARK DRIVE
SUITE 204
BOSTON
MA
02215
true
0001721446
Providence Strategic Growth III L.P.
401 PARK DRIVE
SUITE 204
BOSTON
MA
02215
true
0001721414
Providence Strategic Growth III-A L.P.
401 PARK DRIVE
SUITE 204
BOSTON
MA
02215
true
0001689381
PSG PS Co-Investors L.P.
401 PARK DRIVE
SUITE 204
BOSTON
MA
02215
true
0001477189
Wilde Peter Osgood Jr.
C/O PSG EQUITY L.L.C.
401 PARK DRIVE, SUITE 204
BOSTON
MA
02215
true
Common Stock , par value $0.00001 per share
29718428
I
See Footnotes (1), (2), (3) and (4).
Series A Convertible Preferred Stock
43597628
I
See Footnotes (1), (2), (3), (4) and (5).
Series B Convertible Preferred Stock
8219892
I
See Footnotes (1), (2), (3), (4) and (5).
Series C Convertible Preferred Stock
3928568
I
See Footnotes (1), (2), (3), (4) and (5).
Represents shares of 3,358,726 shares of common stock, 4,927,331 shares of Series A Convertible Preferred Stock, 1,942,358 shares of Series B Convertible Preferred Stock and 595,521 shares of Series C Convertible Preferred Stock held directly by Providence Strategic Growth II L.P. ("PSG II"); 2,564,410 shares of common stock, 3,762,050 shares of Series A Convertible Preferred Stock, 1,483,003 shares of Series B Convertible Preferred Stock and 454,684 shares of Series C Convertible Preferred Stock held directly by Providence Strategic Growth II-A L.P. ("PSG II-A"); 3,628,596 shares of common stock, 5,323,234 shares of Series A Convertible Preferred Stock, 2,098,423 shares of Series B Convertible Preferred Stock and 643,369 shares of Series C Preferred Stock held directly by Providence Strategic Growth III L.P. ("PSG III"); (CONTINUED IN NEXT FOOTNOTE)
(CONTINUED FROM PREVIOUS FOOTNOTE) 1,174,692 shares of common stock, 1,723,297 shares of Series A Convertible Preferred Stock, 679,325 shares of Series B Convertible Preferred Stock and 208,279 shares of Series C Convertible Preferred Stock held directly by Providence Strategic Growth III-A L.P. ("PSG III-A"); and 18,992,005 shares of common stock, 27,861,715 shares of Series A Convertible Preferred Stock, 2,016,782 shares of Series B Convertible Preferred Stock and 2,026,714 shares of Series C Convertible Preferred Stock held directly by PSG PS Co-Investors L.P. ("PSG Co-Invest" and together with PSG II, PSG II-A, PSG III and PSG III-A, the "PSG Funds"). PSG Ultimate GP Managing Member L.L.C. ("PSG Managing Member") is the indirect managing member of the PSG Funds and holds voting and dispositive power over the shares of common stock held by the PSG Funds. (CONTINUED IN NEXT FOOTNOTE)
(CONTINUED FROM PREVIOUS FOOTNOTE) The members of PSG Managing Member are controlled by each of Mark Hastings and Peter Wilde, respectively. Each of Mr. Hastings and Mr.Wilde disclaim beneficial ownership of any of the common stock held by the PSG Funds, except to the extent of their pecuniary interest therein. The address for each of the entities referenced above, Mr. Hastings and Mr. Wilde is c/o PSG Equity L.L.C., 401 Park Drive, Suite 204, Boston, MA 02215.
Solely for purposes of Section 16 of the Exchange Act, each reporting person may be deemed a "director by deputization".
The shares of each series of Convertible Preferred Stock of EverCommerce, Inc. (the "Issuer") are convertible at the option of the holder in accordance with the conditions specified in the certificate of incorporation of the Issuer and will automatically convert on a one-for-one basis into common stock of the Issuer upon the closing of the Issuer's initial public offering.
Explanatory note: This amendment is being filed solely to correct the number of shares held as reported on the Form 3 filed on July 1, 2021 in order to give effect to the impact of rounding.
/s/ Aaron W. Fine
2022-02-14