0001209191-21-038793.txt : 20210607 0001209191-21-038793.hdr.sgml : 20210607 20210607213132 ACCESSION NUMBER: 0001209191-21-038793 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210603 FILED AS OF DATE: 20210607 DATE AS OF CHANGE: 20210607 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: 211001084 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 2021-06-03 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 2021-06-03 4 A 0 500000 0.00 A 500000 D Common Stock 867438 I See footnote Common Stock 1109062 I See footnote Common Stock 4564478 I See footnote 1/12 of the shares subject to the restricted stock units ("RSU") shares vested on March 6, 2021, and 1/12 of the RSUs vest quarterly thereafter. The shares are held by The Friedberg Irrevocable Remainder Trust u/a/d 5/17/2017, of which Mr. Friedberg is the trustee. The shares are held by The David Friedberg 2019 Annuity Trust u/a/d 9/26/19, of which Mr. Friedberg is the trustee. The shares are held by The David Friedberg Revocable Trust u/a/d 9/19/13, of which Mr. Friedberg is the trustee. /s/ Winston Macaraeg, Attorney-in-Fact 2021-06-07