0001209191-21-009967.txt : 20210211 0001209191-21-009967.hdr.sgml : 20210211 20210211213851 ACCESSION NUMBER: 0001209191-21-009967 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210209 FILED AS OF DATE: 20210211 DATE AS OF CHANGE: 20210211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Friedberg David A CENTRAL INDEX KEY: 0001619941 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39484 FILM NUMBER: 21622279 MAIL ADDRESS: STREET 1: 800 N. LINDBERGH BLVD. CITY: ST. LOUIS STATE: MO ZIP: 63167 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Metromile, Inc. CENTRAL INDEX KEY: 0001819035 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 844916134 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 425 MARKET STREET #700 CITY: SAN FRANCISCO STATE: CA ZIP: 1910494105 BUSINESS PHONE: 8882425204 MAIL ADDRESS: STREET 1: 425 MARKET STREET #700 CITY: SAN FRANCISCO STATE: CA ZIP: 1910494105 FORMER COMPANY: FORMER CONFORMED NAME: INSU Acquisition Corp. II DATE OF NAME CHANGE: 20200723 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-02-09 0 0001819035 Metromile, Inc. MILE 0001619941 Friedberg David A C/O METROMILE, INC. 425 MARKET STREET, SUITE 700 SAN FRANCISCO CA 94105 1 0 0 0 Common Stock 2021-02-09 4 A 0 856912 0.00 A 856912 I See footnote Common Stock 2021-02-09 4 A 0 1108382 0.00 A 1108382 I See footnote Common Stock 2021-02-09 4 A 0 4561677 0.00 A 4561677 I See footnote Received pursuant to the Agreement and Plan of Merger and Reorganization, dated as of November 24, 2020, as amended January 12, 2021 and further amended February 8, 2021, by and among INSU Acquisition Corp. II (n/k/a Metromile, Inc.) (the "Issuer"), INSU II Merger Sub Corp. and MetroMile, Inc. (n/k/a Metromile Operating Company) ("Legacy Metromile") (the "Merger Agreement") pursuant to which, through a series of mergers Legacy Metromile became a direct, wholly-owned subsidiary of the Issuer. Pursuant to the Merger Agreement former securityholders of Legacy Metromile will receive additional shares of the Issuer's common stock (the "Additional Shares") if the closing sale price of the Issuer's common stock exceeds $15.00 per share for 20 out of any 30 consecutive trading days during the first two years following the closing of the merger. Includes 91,184 shares to be received as Additional Shares. The shares are held by The Friedberg Irrevocable Remainder Trust u/a/d 5/17/2017, of which Mr. Friedberg is the trustee. Includes 117,943 shares to be received as Additional Shares. The shares are held by The David Friedberg 2019 Annuity Trust u/a/d 9/26/19, of which Mr. Friedberg is the trustee. Includes 485,409 shares to be received as Additional Shares. The shares are held by The David Friedberg Revocable Trust u/a/d 9/19/13, of which Mr. Friedberg is the trustee. /s/ Dan Preston, Attorney-in-Fact 2021-02-11