0001209191-23-016320.txt : 20230306
0001209191-23-016320.hdr.sgml : 20230306
20230306164329
ACCESSION NUMBER: 0001209191-23-016320
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230302
FILED AS OF DATE: 20230306
DATE AS OF CHANGE: 20230306
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Institutional Venture Partners XV, L.P.
CENTRAL INDEX KEY: 0001640274
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38986
FILM NUMBER: 23709494
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 854 0132
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Institutional Venture Management XV, LLC
CENTRAL INDEX KEY: 0001640275
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38986
FILM NUMBER: 23709496
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 854 0132
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Institutional Venture Partners XV Executive Fund, L.P.
CENTRAL INDEX KEY: 0001661321
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38986
FILM NUMBER: 23709493
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650 854 0132
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: IVP Executive Fund XVI, LLC
CENTRAL INDEX KEY: 0001716965
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38986
FILM NUMBER: 23709491
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD, BUILDING 2, SUITE 2
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-0132
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, BUILDING 2, SUITE 2
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Institutional Venture Partners XVI, L.P.
CENTRAL INDEX KEY: 0001716992
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38986
FILM NUMBER: 23709492
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD, BUILDING 2, SUITE 2
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-0132
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, BUILDING 2, SUITE 2
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Institutional Venture Management XVI, LLC
CENTRAL INDEX KEY: 0001716997
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38986
FILM NUMBER: 23709495
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD, BUILDING 2, SUITE 2
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 854-0132
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD, BUILDING 2, SUITE 2
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
2023-03-02
1
0001773751
Hims & Hers Health, Inc.
HIMS
0001640275
Institutional Venture Management XV, LLC
3000 SAND HILL ROAD BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001716997
Institutional Venture Management XVI, LLC
3000 SAND HILL ROAD BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001640274
Institutional Venture Partners XV, L.P.
3000 SAND HILL ROAD BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001661321
Institutional Venture Partners XV Executive Fund, L.P.
3000 SAND HILL ROAD BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001716992
Institutional Venture Partners XVI, L.P.
3000 SAND HILL ROAD BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001716965
IVP Executive Fund XVI, LLC
3000 SAND HILL ROAD BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
Class A Common Stock
2023-03-02
4
J
0
2486770
0.00
D
7668334
I
By Institutional Venture Partners XV, L.P.
Class A Common Stock
2023-03-02
4
J
0
13188
0.00
D
40786
I
By Institutional Venture Partners XV Executive Fund, L.P.
Class A Common Stock
2023-03-02
4
J
0
2500000
0.00
D
7709091
I
By Institutional Venture Partners XVI, L.P.
Class A Common Stock
2023-03-02
4
J
0
537143
0.00
A
537143
D
Class A Common Stock
2023-03-02
4
J
0
537143
0.00
D
0
D
Class A Common Stock
2023-03-02
4
J
0
33180
0.00
A
33180
I
By IVP Executive Fund XVI, LLC
Class A Common Stock
2023-03-02
4
J
0
62500
0.00
A
62500
I
By Institutional Venture Management XVI, LLC
Class A Common Stock
2023-03-02
4
J
0
62500
0.00
D
0
I
By Institutional Venture Management XVI, LLC
Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by Institutional Venture Partners XV, L.P. ("IVP XV") to its general partner and limited partners without additional consideration.
The shares held by Institutional Venture Management XV, LLC ("IVM XV") prior to the transactions reported herein reflect the transfer of shares from IVM XV to IVP XV, which shares were previously held by IVM XV for the benefit of IVP XV and such transfer did not constitute a change in beneficial ownership.
Shares are held by IVP XV. IVM XV is the sole general partner of IVP XV. Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Stephen J. Harrick, Eric Liaw, J. Sanford Miller, Dennis B. Phelps and Jules A. Maltz (collectively, the "Managing Directors") are the managing directors of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XV. Each of IVM XV and the Managing Directors disclaims beneficial ownership of the shares held by IVP XV except to the extent of its or his respective proportionate pecuniary interest therein. Mr. Maltz is a director of the Issuer and files separate Section 16 reports.
Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by Institutional Venture Partners XV Executive Fund, L.P. ("IVP XV EF") to its limited partners without additional consideration.
Shares are held by IVP XV EF. IVM XV is the sole general partner of IVP XV EF. The Managing Directors are the managing directors of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XV EF. Each of IVM XV and the Managing Directors disclaims beneficial ownership of these securities, except to the extent of its or his respective proportionate pecuniary interest therein. Mr. Maltz is a director of the Issuer and files separate Section 16 reports.
Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by Institutional Venture Partners XVI, L.P. ("IVP XVI") to its general partner and limited partners without additional consideration.
The shares held by Institutional Venture Management XVI, LLC ("IVM XVI") prior to the transactions reported herein reflect the transfer of shares from IVM XVI to IVP XVI, which shares were previously held by IVM XVI for the benefit of IVP XVI and such transfer did not constitute a change in beneficial ownership.
Shares are held by IVP XVI. IVM XVI is the sole general partner of IVP XVI. The Managing Directors are the managing directors of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XVI. Each of IVM XVI and the Managing Directors disclaims beneficial ownership of these securities, except to the extent of its or his respective proportionate pecuniary interest therein. Mr. Maltz is a director of the Issuer and files separate Section 16 reports.
Represents receipt of shares in the distribution in kind described in footnote (1).
Shares are held by IVM XV. The Managing Directors are the managing directors of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVM XV. Each of the Managing Directors disclaims beneficial ownership of the shares held by IVM XV except to the extent of his or its respective pecuniary interest therein. Mr. Maltz is a director of the Issuer and files separate Section 16 reports.
Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by IVM XV to its members without additional consideration.
Represents receipt of shares in the distribution in kind described in footnote (6).
Shares are held by IVP Executive Fund XVI, LLC ("IVP XVI EF"). IVM XVI is the manager of IVP XVI EF. The Managing Directors are the managing directors of IVM XVI and may be deemed to share voting and dispositive power over the shares held by IVP XVI EF. IVM XVI and each of the Managing Directors disclaims beneficial ownership of the shares held by IVP XVI EF except to the extent of his or its respective pecuniary interest therein. Mr. Maltz is a director of the Issuer and files separate Section 16 reports.
Shares are held by IVM XVI. The Managing Directors are the managing directors of IVM XVI and may be deemed to share voting and dispositive power over the shares held by IVM XVI. Each of the Managing Directors disclaims beneficial ownership of the shares held by IVM XVI except to the extent of his or its respective pecuniary interest therein. Mr. Maltz is a director of the Issuer and files separate Section 16 reports.
Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by IVM XVI to its members without additional consideration.
Institutional Venture Management XV, LLC, By: /s/ Tracy Hogan, Attorney-In-Fact
2023-03-06
Institutional Venture Management XVI, LLC, By: /s/ Tracy Hogan, Attorney-In-Fact
2023-03-06
Institutional Venture Partners XV, L.P., By: /s/ Tracy Hogan, Attorney-In-Fact
2023-03-06
Institutional Venture Partners XV Executive Fund, L.P., By: /s/ Tracy Hogan, Attorney-In-Fact
2023-03-06
Institutional Venture Partners XVI, L.P., By: /s/ Tracy Hogan, Attorney-In-Fact
2023-03-06
IVP XVI Executive Fund, LLC, By: /s/Tracy Hogan, Attorney-In-Fact
2023-03-06