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