0000899243-18-018959.txt : 20180702 0000899243-18-018959.hdr.sgml : 20180702 20180702170058 ACCESSION NUMBER: 0000899243-18-018959 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180628 FILED AS OF DATE: 20180702 DATE AS OF CHANGE: 20180702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Birnbaum Seth CENTRAL INDEX KEY: 0001744413 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38549 FILM NUMBER: 18933540 MAIL ADDRESS: STREET 1: 210 BROADWAY CITY: CAMBRIDGE STATE: MA ZIP: 02139 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EverQuote, Inc. CENTRAL INDEX KEY: 0001640428 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 263101161 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 210 BROADWAY CITY: CAMBRIDGE STATE: MA ZIP: 02139 BUSINESS PHONE: 617-245-0615 MAIL ADDRESS: STREET 1: 210 BROADWAY CITY: CAMBRIDGE STATE: MA ZIP: 02139 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-06-28 0 0001640428 EverQuote, Inc. EVER 0001744413 Birnbaum Seth C/O EVERQUOTE, INC. 210 BROADWAY CAMBRIDGE MA 02139 1 1 0 0 President and CEO Class A Common Stock 2018-06-28 4 A 0 640000 0.00 A 640000 D Class A Common Stock 2018-07-02 4 C 0 274012 0.00 A 274012 I See footnote Class A Common Stock 2018-07-02 4 S 0 274012 18.00 D 0 I See footnote Class A Common Stock 2018-07-02 4 C 0 291200 0.00 A 931200 D Class A Common Stock 2018-07-02 4 S 0 291200 18.00 D 640000 D Series A Preferred Stock 2018-07-02 4 C 0 133065 0.00 D Class B Common Stock 1064520 0 I See footnote Class B Common Stock 2018-07-02 4 C 0 1064520 0.00 A Class A Common Stock 1064520 1064520 I See footnote Class B Common Stock 2018-07-02 4 C 0 274012 0.00 D Class A Common Stock 274012 790508 I See footnote Class B Common Stock 2018-07-02 4 C 0 291200 0.00 D Class A Common Stock 291200 287904 D Consists of shares of Class A Common Stock issuable under 640,000 restricted stock units ("RSUs"). Each RSU represents the right to receive one share of Class A Common Stock upon vesting. These RSUs are scheduled to vest in equal quarterly installments over seven years with the first installment vested on June 30, 2018. Consists of shares held by Cogo Labs, Inc., with respect to which Cogo Labs, Inc. has empowered Mr. Birnbaum and Mira Wilczek, acting together and not individually, to exercise investment power, which may be revoked by Cogo Labs, Inc. at any time. Mr. Birnbaum disclaims beneficial ownership of the shares owned directly by Cogo Labs, Inc. except to the extent of any pecuniary interest therein. The Series A Preferred Stock converted into Class B Common Stock on a one-for-eight basis automatically upon the closing of the issuer's initial public offering of its Class A Common Stock without payment of consideration. The Series A Preferred Stock was convertible at any time at the holder's election and automatically upon the closing of the issuer's initial public offering of its Class A Common Stock. The shares had no expiration date. The Class B Common Stock is convertible into the issuer's Class A Common Stock on a one-for-one basis upon certain transfers of such shares and at the holder's election and has no expiration date. /s/ David Mason, as attorney-in-fact for Seth Birnbaum 2018-07-02