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