0001104659-23-071272.txt : 20230614 0001104659-23-071272.hdr.sgml : 20230614 20230614172318 ACCESSION NUMBER: 0001104659-23-071272 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: Black John Richard CENTRAL INDEX KEY: 0001890400 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41059 FILM NUMBER: 231015134 MAIL ADDRESS: STREET 1: C/O LULUS FASHION LOUNGE HOLDINGS, INC. STREET 2: 195 HUMBOLDT AVENUE CITY: CHICO STATE: CA ZIP: 95928 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 tm2318680-2_4seq1.xml OWNERSHIP DOCUMENT X0407 4 2023-06-13 0 0001780201 Lulu's Fashion Lounge Holdings, Inc. LVLU 0001890400 Black John Richard 195 HUMBOLDT AVENUE CHICO CA 95928 1 0 0 0 0 Common Stock 2023-06-13 4 A 0 40323 0 A 88069 D Represents restricted stock units, each of which represents a contingent right to receive one share of common stock, and which vest in full on the earlier of (i) the first anniversary of the grant date or (ii) immediately before Lulu's Fashion Lounge Holdings, Inc.'s (the "Company") 2024 Annual Meeting of Stockholders, subject to the director's continued service on the Company's Board of Directors. /s/ Alexa Pisczak as attorney-in-fact for John Richard Black 2023-06-14