0001209191-18-034502.txt : 20180531
0001209191-18-034502.hdr.sgml : 20180531
20180531190705
ACCESSION NUMBER: 0001209191-18-034502
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180529
FILED AS OF DATE: 20180531
DATE AS OF CHANGE: 20180531
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Zalik Helen
CENTRAL INDEX KEY: 0001741565
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38506
FILM NUMBER: 18873053
MAIL ADDRESS:
STREET 1: 5565 GLENRIDGE CONNECTOR, SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30342
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GreenSky, Inc.
CENTRAL INDEX KEY: 0001712923
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 822135346
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5565 GLENRIDGE CONNECTOR
STREET 2: SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30342
BUSINESS PHONE: 678-264-6105
MAIL ADDRESS:
STREET 1: 5565 GLENRIDGE CONNECTOR
STREET 2: SUITE 700
CITY: ATLANTA
STATE: GA
ZIP: 30342
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-05-29
0
0001712923
GreenSky, Inc.
GSKY
0001741565
Zalik Helen
5565 GLENRIDGE CONNECTOR, SUITE 700
ATLANTA
GA
30342
0
0
1
0
Class B common stock
2018-05-29
4
S
0
19200980.18
0.00
D
50948121.12
I
By Founders Technology Investors, LLC
Class B common stock
2018-05-29
4
S
0
5009230.86
0.00
D
13291555.86
I
By Financial Technology Investors, LLC
Holdco Units
2018-05-29
4
S
0
19200980.18
21.85
D
Class A common stock
19200980.18
50948121.12
I
By Founders Technology Investors, LLC
Holdco Units
2018-05-29
4
S
0
5009230.86
21.85
D
Class A common stock
5009230.86
13291555.86
I
By Financial Technology Investors, LLC
Represents Holdco Units purchased by the Issuer in connection with its initial public offering, and shares of Class B common stock automatically cancelled upon such purchase.
Amount represents 98.4957% of the Holdco Units purchased from Founders Technology Investors, LLC, and 98.4957% of the Class B common stock automatically cancelled upon such purchase, attributable to the Reporting Person based on her 98.4957% indirect economic interest in Founders Technology Investors, LLC.
The amount of securities reflects a 98.4957% indirect economic interest in Founders Technology Investors, LLC.
The Class B common stock entitles holders to ten votes per share, votes as a single class with the Class A common stock, has no economic rights and is subject to forfeiture upon exchange of the Reporting Person's Holdco Units as described below.
Amount represents 97.1314% of the Holdco Units purchased from Financial Technology Investors, LLC, and 97.1314% of the Class B common stock automatically cancelled upon such purchase, attributable to the Reporting Person based on her 97.1314% indirect economic interest in Financial Technology Investors, LLC.
The amount of securities reflects a 97.1314% indirect economic interest in Financial Technology Investors, LLC.
Pursuant to the Exchange Agreement, dated May 23, 2018, by and among the Issuer, GreenSky Holdings, LLC ("GS Holdings") and the members of GS Holdings, the Holdco Units may be exchanged by the Reporting Person (with automatic cancellation of an equal number of shares of Class B common stock) for shares of Class A common stock on a one-for-one basis, subject to customary adjustments for stock splits, stock dividends, reclassifications and other similar transactions, stock repurchases and other reinvestments of excess cash, or for cash (based on the market price of the shares of Class A common stock), at the Issuer's option.
/s/ Robert Partlow, as attorney-in-fact
2018-05-31