0001104659-21-133228.txt : 20211102
0001104659-21-133228.hdr.sgml : 20211102
20211102184133
ACCESSION NUMBER: 0001104659-21-133228
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211030
FILED AS OF DATE: 20211102
DATE AS OF CHANGE: 20211102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: POLAK REBECCA C.
CENTRAL INDEX KEY: 0001478001
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38818
FILM NUMBER: 211372946
MAIL ADDRESS:
STREET 1: 611 BAINBRIDGE STREET
STREET 2: SUITE 100
CITY: RICHMOND
STATE: VA
ZIP: 23224
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CarLotz, Inc.
CENTRAL INDEX KEY: 0001759008
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500]
IRS NUMBER: 832456129
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 611 BAINBRIDGE STREET
STREET 2: SUITE 100
CITY: RICHMOND
STATE: VA
ZIP: 23224
BUSINESS PHONE: (804) 728-3833
MAIL ADDRESS:
STREET 1: 611 BAINBRIDGE STREET
STREET 2: SUITE 100
CITY: RICHMOND
STATE: VA
ZIP: 23224
FORMER COMPANY:
FORMER CONFORMED NAME: Acamar Partners Acquisition Corp.
DATE OF NAME CHANGE: 20181114
4
1
tm2131747d1_4.xml
OWNERSHIP DOCUMENT
X0306
4
2021-10-30
0
0001759008
CarLotz, Inc.
LOTZ
0001478001
POLAK REBECCA C.
C/O CARLOTZ, INC.
611 BAINBRIDGE STREET, SUITE 100
RICHMOND
VA
23220
0
1
0
0
CCO and GC
Class A Common Stock
2021-10-30
4
M
0
31793
A
31793
D
Class A Common Stock
2021-10-30
4
F
0
16462
3.96
D
15331
D
Restricted Stock Units
2021-10-30
4
M
0
31793
0
A
Class A Common Stock
31793
95382
D
Restricted Stock Units convert into Class A Common Stock on a one-for-one basis.
The reporting person was granted 127,175 Restricted Stock Units vesting in four equal annual installments beginning from October 30, 2020.
/s/ Rebecca C. Polak
2021-11-02