0000899243-21-039906.txt : 20211012
0000899243-21-039906.hdr.sgml : 20211012
20211012174400
ACCESSION NUMBER: 0000899243-21-039906
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211007
FILED AS OF DATE: 20211012
DATE AS OF CHANGE: 20211012
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sullivan Jeffrey Alan
CENTRAL INDEX KEY: 0001887656
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40750
FILM NUMBER: 211319532
MAIL ADDRESS:
STREET 1: 700 S. FLOWER STREET, 15TH FLOOR
CITY: LOS ANGELES
STATE: CA
ZIP: 90017
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Consensus Cloud Solutions, Inc.
CENTRAL INDEX KEY: 0001866633
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 700 S. FLOWER STREET
STREET 2: LEGAL DEPT - 15TH FLOOR
CITY: LOS ANGELES
STATE: CA
ZIP: 90017
BUSINESS PHONE: 3238609200
MAIL ADDRESS:
STREET 1: 700 S. FLOWER STREET
STREET 2: LEGAL DEPT - 15TH FLOOR
CITY: LOS ANGELES
STATE: CA
ZIP: 90017
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-10-07
0
0001866633
Consensus Cloud Solutions, Inc.
CCSI
0001887656
Sullivan Jeffrey Alan
C/O CONSENSUS CLOUD SOLUTIONS, INC.
700 S. FLOWER STREET, 15TH FLOOR
LOS ANGELES
CA
90017
0
1
0
0
Chief Technology Officer
Common Stock
566
D
Common Stock
2021-10-07
4
A
0
0
0.00
A
0
D
Shares acquired in a pro rata distribution by Ziff Davis, Inc., formerly known as J2 Global, Inc. ("Ziff Davis"), of shares of Consensus Cloud Solutions, Inc. ("Consensus") in connection with the separation of Consensus from Ziff Davis (the "Separation").
In connection with the Separation, shares subject to each outstanding Ziff Davis restricted stock unit award were converted into a number of shares subject to a restricted stock unit award denominated in shares of Consensus common stock pursuant to the terms of the employee matters agreement between Ziff Davis and Consensus. The number of underlying shares subject to each restricted stock unit award is unknown at this time, as it will be calculated based on the average of the volume weighted average price of shares of Consensus common stock for the 30 regular trading days commencing with the date of the Separation, and will be reported on an amendment to this Form 4 as soon as practicable once the number of shares subject to each award is calculated.
/s/ Vithya Aubee, Attorney-in-Fact
2021-10-12