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