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