0001104659-23-071279.txt : 20230614
0001104659-23-071279.hdr.sgml : 20230614
20230614172707
ACCESSION NUMBER: 0001104659-23-071279
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230613
FILED AS OF DATE: 20230614
DATE AS OF CHANGE: 20230614
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Liaw Eric
CENTRAL INDEX KEY: 0001644264
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 231015165
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 2, SUITE 250
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Lulu's Fashion Lounge Holdings, Inc.
CENTRAL INDEX KEY: 0001780201
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961]
IRS NUMBER: 208442468
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 195 HUMBOLDT AVENUE
CITY: CHICO
STATE: CA
ZIP: 95928
BUSINESS PHONE: 530-343-3545
MAIL ADDRESS:
STREET 1: 195 HUMBOLDT AVENUE
CITY: CHICO
STATE: CA
ZIP: 95928
4
1
tm2318680-5_4.xml
OWNERSHIP DOCUMENT
X0407
4
2023-06-13
1
0001780201
Lulu's Fashion Lounge Holdings, Inc.
LVLU
0001644264
Liaw Eric
195 HUMBOLDT AVENUE
CHICO
CA
95928
1
0
0
0
0
Common Stock
2023-06-13
4
A
0
5944
0
A
43789
D
Common Stock
13863
I
Directly held by Institutional Venture Management XV, LLC
Common Stock
4479
I
Directly held by Institutional Venture Management XVI, LLC
Common Stock
3730160
I
Directly held by Institutional Venture Partners XV, L.P.
Common Stock
19843
I
Directly held by Institutional Venture Partners XV Executive Fund, L.P.
Common Stock
3749997
I
Directly held by Institutional Venture Partners XVI, L.P.
Represents restricted stock units, each of which represents a contingent right to receive one share of common stock, and which vested fully upon grant. The Reporting Person's term as a director expired immediately following the Issuer's 2023 Annual Meeting of Stockholders held on June 13, 2023.
The Reporting Person is a managing director of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVM XV. The Reporting Person disclaims beneficial ownership of the shares held by IVM XV except to the extent of his pecuniary interest therein.
The Reporting Person is a managing director of IVM XVI and may be deemed to share voting and dispositive power over the shares held by IVM XVI. The Reporting Person disclaims beneficial ownership of the shares held by IVM XVI except to the extent of his pecuniary interest therein.
Institutional Venture Management XV, LLC ("IVM XV") is the general partner of Institutional Venture Partners XV, L.P. ("IVP XV"). The Reporting Person is a managing director of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XV. The Reporting Person disclaims beneficial ownership of the shares held by IVP XV except to the extent of his pecuniary interest therein.
IVM XV is the general partner of Institutional Venture Partners XV Executive Fund, L.P. ("IVP XV-EF"). The Reporting Person is a managing director of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XV-EF. The Reporting Person disclaims beneficial ownership of the shares held by IVP XV-EF except to the extent of his pecuniary interest therein.
Institutional Venture Management XVI, LLC ("IVM XVI") is the general partner of Institutional Venture Partners XVI, L.P. (IVP XVI"). The Reporting Person is a managing director of IVM XVI and may be deemed to share voting and dispositive power over the shares held by IVP XVI. The Reporting Person disclaims beneficial ownership of the shares held by IVP XVI except to the extent of his pecuniary interest therein.
/s/ Alexa Pisczak as attorney-in-fact for Eric Liaw
2023-06-14