0001214659-21-013353.txt : 20211217 0001214659-21-013353.hdr.sgml : 20211217 20211217164256 ACCESSION NUMBER: 0001214659-21-013353 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211215 FILED AS OF DATE: 20211217 DATE AS OF CHANGE: 20211217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Simmons Nathaniel CENTRAL INDEX KEY: 0001887641 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40750 FILM NUMBER: 211502203 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 marketforms-54723.xml PRIMARY DOCUMENT X0306 4 2021-12-15 0001866633 Consensus Cloud Solutions, Inc. CCSI 0001887641 Simmons Nathaniel C/O CONSENSUS CLOUD SOLUTIONS, INC. 700 S. FLOWER STREET, 15TH FLOOR LOS ANGELES CA 90017 true false false false Restricted Stock Units 0 2021-12-15 4 A false 200000 0 A 2022-12-15 Common Stock 200000 200000 D Restricted Stock Unit awarded under the Issuer's 2021 Stock Plan. Shares will vest one year from grant date. Shares will be forfeited if the Reporting Person is no longer serving as a director at vest. /s/ Vithya Aubee, Attorney-in-Fact 2021-12-17