0001104659-22-033452.txt : 20220314
0001104659-22-033452.hdr.sgml : 20220314
20220314183129
ACCESSION NUMBER: 0001104659-22-033452
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220310
FILED AS OF DATE: 20220314
DATE AS OF CHANGE: 20220314
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gilboa David Abraham
CENTRAL INDEX KEY: 0001883353
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40825
FILM NUMBER: 22738124
MAIL ADDRESS:
STREET 1: C/O WARBY PARKER INC.
STREET 2: 233 SPRING STREET, 6TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10013
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Warby Parker Inc.
CENTRAL INDEX KEY: 0001504776
STANDARD INDUSTRIAL CLASSIFICATION: OPHTHALMIC GOODS [3851]
IRS NUMBER: 800423634
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 233 SPRING STREET
STREET 2: 6TH FLOOR EAST
CITY: NEW YORK
STATE: NY
ZIP: 10013
BUSINESS PHONE: (646) 847-7215
MAIL ADDRESS:
STREET 1: 233 SPRING STREET
STREET 2: 6TH FLOOR EAST
CITY: NEW YORK
STATE: NY
ZIP: 10013
FORMER COMPANY:
FORMER CONFORMED NAME: JAND, Inc.
DATE OF NAME CHANGE: 20101102
4
1
tm229170-2_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-03-10
0
0001504776
Warby Parker Inc.
WRBY
0001883353
Gilboa David Abraham
C/O WARBY PARKER INC.,
233 SPRING STREET, 6TH FLOOR EAST
NEW YORK
NY
10013
1
1
0
0
Co-Chief Executive Officer
Class A Common Stock
2022-03-10
4
C
0
5354
0
A
5589
D
Class A Common Stock
2022-03-10
4
S
0
5354
25.00
D
235
D
Restricted Stock Units
2022-03-10
4
M
0
3608
0
D
Class A Common Stock
3608
13228
D
Restricted Stock Units
2022-03-10
4
M
0
4544
0
D
Class A Common Stock
4544
34987
D
Restricted Stock Units
2022-03-10
4
M
0
4331
0
D
Class A Common Stock
4331
50392
D
Class B Common Stock
2022-03-10
4
M
0
12483
0
A
Class A Common Stock
12483
6579769
D
Class B Common Stock
2022-03-10
4
C
0
5354
0
D
Class A Common Stock
5354
6574415
D
Restricted Stock Units
Class A Common Stock
939020
939020
D
Class B Common Stock
Class A Common Stock
2056770
2056770
I
By David A. Gilboa 2012 Family Trust
Includes 235 shares of Class A Common Stock acquired in a pro rata distribution in-kind, the acquisition of which was exempt from reporting pursuant to Rule 16a-9 of the Securities Exchange Act of 1934, as amended.
Sale of shares to cover taxes due on restricted stock units that vested, as mandated by the Issuer's equity compensation plan.
Each Restricted Stock Unit represents a contingent right to receive one share of the Company's Class A Common Stock.
This filing relates to the occurrence of a RSU vesting event.
The restricted stock units will vest in 48 monthly installments beginning on January 1, 2019 and will expire on May 1, 2026.
The restricted stock units will vest in 48 monthly installments beginning on January 1, 2020 and will expire on November 19, 2026.
The restricted stock units will vest in 48 monthly installments beginning on January 1, 2021 and will expire on January 27, 2028.
The Class B Common Stock is convertible at any time at the option of the holder into the Issuer's Class A Common Stock on a one-to-one basis. The Class B Common Stock will automatically convert intoshares of the Issuer's Class A Common Stock on a one-to-one basis upon the earlier of (i) transfer of Class B common stock to a person or entity that is not in the transferor's permitted ownership group, (ii) October 1, 2031, (iii) with respect to any Class B common stock held by any person or entity in Neil Blumenthal's permitted ownership group, (A) such time as Neil Blumenthal is removed or resigns from theboard of directors, or otherwise ceases to serve as a director, (B) such time as Neil Blumenthal ceases to be either an employee, officer or consultant of the Company or any of its subsidiaries, or (C) the date that is 12 months after the death or disability of Neil Blumenthal,
and (iv) with respect to any Class B common stock held by any person or entity in Dave Gilboa's permitted ownership group, (A) such time as Dave Gilboa is removed or resigns from the board of directors, orotherwise ceases to serve as a director, (B) such time as Dave Gilboa ceases to be either an employee, officer or consultant of the Company or any of its subsidiaries, or (C) the date that is 12 months after the death or disability of Dave Gilboa.
The restricted stock units will vest in 60 monthly installments beginning on July 1, 2021, will expire on June 15, 2031.
/s/ Hyung Bak, Attorney-in-Fact
2022-03-14