0001209191-21-066890.txt : 20211124 0001209191-21-066890.hdr.sgml : 20211124 20211124211655 ACCESSION NUMBER: 0001209191-21-066890 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211123 FILED AS OF DATE: 20211124 DATE AS OF CHANGE: 20211124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Olsen Christopher CENTRAL INDEX KEY: 0001828005 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39658 FILM NUMBER: 211448949 MAIL ADDRESS: STREET 1: C/O ROOT, INC. STREET 2: 80 E RICH STREET, SUITE 500 CITY: COLUMBUS STATE: OH ZIP: 43215 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-11-23 0 0001788882 Root, Inc. ROOT 0001828005 Olsen Christopher 629 N. HIGH STREET, 6TH FLOOR COLUMBUS OH 43215 0 0 1 0 Class A Common Stock 2021-11-23 4 C 0 10100000 A 10100000 I See Footnote Class A Common Stock 2021-11-23 4 J 0 10100000 0.00 D 0 I See Footnote Class A Common Stock 15290 D Class B Common Stock 2021-11-23 4 C 0 10100000 0.00 D Class A Common Stock 10100000 25980779 I See Footnote Class B Common Stock Class A Common Stock 2024456 2024456 I See Footnote Class B Common Stock Class A Common Stock 978891 978891 I See Footnote Class B Common Stock Class A Common Stock 28683 28683 I See Footnote These shares were converted from Class B Common Stock into Class A Common Stock on a one-for-one basis for no consideration. The shares are held of record by DC I Investment LLC ("DC I Investment"). Christopher Olsen is the Managing Director of DC I Investment and has sole voting and dispositive power with respect to the shares held of record by DC I Investment. Represents a pro-rata, in-kind distribution by DC I Investment LLC ("DC I Investment") to its indirect equity holders, without additional consideration. DC I Investment distributed an aggregate of 10,100,000 shares to the limited partners of its two members, Drive Capital Fund I, L.P. ("Fund I") and Drive Capital Ignition Fund I, L.P. ("Ignition Fund I"), on a pro rata basis. Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date. The shares are held of record by Drive Capital Overdrive Fund I, L.P. ("Overdrive I"). Drive Capital Overdrive Fund I (GP), LLC ("Overdrive GP I") is the General Partner of Overdrive I. Christopher Olsen ("Olsen") and Mark Kvamme ("Kvamme") are the managing members of Overdrive GP I and share voting and dispositive power with respect to the shares held of record by Overdrive I. Overdrive GP I, Olsen and Kvamme disclaim beneficial ownership of such shares except to the extent of their pecuniary interests therein. The shares are held of record by Drive Capital Overdrive Fund I (TE), L.P. ("Overdrive TE I"). Drive Capital Overdrive Fund I (GP), LLC ("Overdrive GP I") is the General Partner of Overdrive TE I. Christopher Olsen ("Olsen") and Mark Kvamme ("Kvamme") are the managing members of Overdrive GP I and share voting and dispositive power with respect to the shares held of record by Overdrive TE I. Overdrive GP I, Olsen and Kvamme disclaim beneficial ownership of such shares except to the extent of their pecuniary interests therein. The shares are held of record by Drive Capital Overdrive Ignition Fund I, L.P. ("Overdrive Ignition I"). Drive Capital Overdrive Fund I (GP), LLC ("Overdrive GP I") is the General Partner of Overdrive Ignition I. Christopher Olsen ("Olsen") and Mark Kvamme ("Kvamme") are the managing members of Overdrive GP I and share voting and dispositive power with respect to the shares held of record by Overdrive Ignition I. Overdrive GP I, Olsen and Kvamme disclaim beneficial ownership of such shares except to the extent of their pecuniary interests therein. This Form 4 is one of two Form 4s filed on the date hereof with respect to the conversion and in-kind distribution of shares by DC I Investment LLC to its indirect equity holders. The Reporting Person for the other Form 4 is Drive Capital Overdrive Fund I, L.P. /s/ Christopher Olsen 2021-11-24