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