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