0000899243-21-039681.txt : 20211008 0000899243-21-039681.hdr.sgml : 20211008 20211008152922 ACCESSION NUMBER: 0000899243-21-039681 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211001 FILED AS OF DATE: 20211008 DATE AS OF CHANGE: 20211008 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARVANA CO. CENTRAL INDEX KEY: 0001690820 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39658 FILM NUMBER: 211315210 BUSINESS ADDRESS: STREET 1: 1930 W. RIO SALADO PARKWAY CITY: TEMPE STATE: AZ ZIP: 85281 BUSINESS PHONE: (480) 719-8809 MAIL ADDRESS: STREET 1: 1930 W. RIO SALADO PARKWAY CITY: TEMPE STATE: AZ ZIP: 85281 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARVANA GROUP, LLC CENTRAL INDEX KEY: 0001737364 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39658 FILM NUMBER: 211315209 BUSINESS ADDRESS: STREET 1: 1930 W. RIO SALADO PKWY CITY: TEMPE STATE: AZ ZIP: 85281 BUSINESS PHONE: (602) 852-6604 MAIL ADDRESS: STREET 1: 1930 W. RIO SALADO PKWY CITY: TEMPE STATE: AZ ZIP: 85281 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Root, Inc. CENTRAL INDEX KEY: 0001788882 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 842717903 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 80 E RICH STREET STREET 2: SUITE 500 CITY: COLUMBUS STATE: OH ZIP: 43215 BUSINESS PHONE: (614) 591-4568 MAIL ADDRESS: STREET 1: 80 E RICH STREET STREET 2: SUITE 500 CITY: COLUMBUS STATE: OH ZIP: 43215 FORMER COMPANY: FORMER CONFORMED NAME: Root Stockholdings, Inc. DATE OF NAME CHANGE: 20190919 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-10-01 0 0001788882 Root, Inc. ROOT 0001690820 CARVANA CO. 1930 W. RIO SALADO PARKWAY TEMPE AZ 85281 0 0 1 0 0001737364 CARVANA GROUP, LLC 1930 W. RIO SALADO PARKWAY TEMPE AZ 85281 0 0 1 0 Series A Convertible Preferred Stock 9.00 Class A Common Stock 14053096 I See Footnotes The Series A Convertible Preferred Stock (the "Preferred Stock") is convertible at any time, at the holder's election, and has no expiration date. Represents Preferred Stock held directly by Carvana Group, LLC. Carvana Co. exercises voting and dispositive power over the Preferred Stock. Carvana Group LLC, By: Carvana Co. Sub, LLC, its Sole Manager, By Carvana Co., its Sole Manager, By: /s/ Paul Breaux, Vice President, General Counsel and Secretary 2021-10-08 Carvana Co., By: /s/ Paul Breaux, Vice President, General Counsel and Secretary 2021-10-08