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