0001209191-23-019343.txt : 20230316
0001209191-23-019343.hdr.sgml : 20230316
20230316165219
ACCESSION NUMBER: 0001209191-23-019343
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230314
FILED AS OF DATE: 20230316
DATE AS OF CHANGE: 20230316
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Maltz Jules A.
CENTRAL INDEX KEY: 0001553254
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38986
FILM NUMBER: 23739541
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Hims & Hers Health, Inc.
CENTRAL INDEX KEY: 0001773751
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2269 CHESTNUT ST
STREET 2: #523
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94123
BUSINESS PHONE: 415-851-0195
MAIL ADDRESS:
STREET 1: 2269 CHESTNUT ST
STREET 2: #523
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94123
FORMER COMPANY:
FORMER CONFORMED NAME: Oaktree Acquisition Corp.
DATE OF NAME CHANGE: 20190412
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2023-03-14
0
0001773751
Hims & Hers Health, Inc.
HIMS
0001553254
Maltz Jules A.
3000 SAND HILL ROAD BLDG. 2, SUITE 250
MENLO PARK
CA
94025
1
0
0
0
Class A Common Stock
2023-03-14
4
J
0
2449
D
18414
D
Class A Common Stock
2023-03-14
4
J
0
1224
A
1224
I
By Institutional Venture Management XV, LLC
Class A Common Stock
2023-03-14
4
J
0
1225
A
1225
I
By Institutional Venture Management XVI, LLC
Class A Common Stock
220401
I
By Jules Maltz and Kelly Greenwood Fam Tr UA 07/31/2018
Class A Common Stock
40735
I
By Institutional Venture Partners XV Executive Fund, L.P.
Class A Common Stock
7666545
I
By Institutional Venture Partners XV, L.P.
Class A Common Stock
7707291
I
By Institutional Venture Partners XVI, L.P.
Represents the transfer of shares received by the Reporting Person upon the settlement of restricted stock units ("RSUs") that the Reporting Person received pursuant to the Issuer's non-employee director compensation policy. Pursuant to a series of Director Compensation Assignment Agreements, the Reporting Person has agreed to assign the beneficial interest in any equity awards granted to him for his service as director of the Issuer to Institutional Venture Management XV, LLC ("IVM XV") and Institutional Venture Management XVI, LLC ("IVM XVI").
Mr. Maltz is a managing director of IVM XV, which is the general partner of Institutional Venture Partners XV Executive Fund, L.P. ("IVP XV Executive Fund") and Institutional Venture Partners XV, L.P. ("IVP XV"), and IVM XVI, which is
the general partner of Institutional Venture Partners XVI, L.P. ("IVP XVI"). Mr. Maltz may be deemed a beneficial owner of the securities held by IVM XV, IVM XVI, IVP XV Executive Fund, IVP XV and IVP XVI, but disclaims beneficial ownership thereof, except to the extent of any pecuniary interest therein.
/s/ Tracy Hogan, Attorney-In-Fact for Jules A. Maltz
2023-03-16