SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Stern William C

(Last) (First) (Middle)
360 WEST 4800 NORTH

(Street)
PROVO UT 84604

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Ancestry.com Inc. [ ACOM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Gen. Counsel and Corp. Sec.
3. Date of Earliest Transaction (Month/Day/Year)
12/10/2012
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, par value $.001 12/10/2012 M 5,000 A $8.54 5,000 D
Common Stock, par value $.001 12/10/2012 S 5,000(1) D $31.81 0 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Common Stock Option (right to buy) $8.54 12/10/2012 M 5,000 (2) 07/20/2019 Common Stock, $0.001 par value 5,000 $0.00 100,000 D
Common Stock Option (right to buy) $23.35 (3) 03/01/2022 Common Stock, $0.001 par value 120,000 120,000 D
Restricted Stock Units $0.00(4) (5) (5) Common Stock, $0.001 par value 60,000 60,000 D
Explanation of Responses:
1. The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 sales plan adopted by Mr. Stern on February 22, 2012.
2. Option granted on July 20, 2009. The option, originally representing a right to purchase 200,000 shares, vests over four years with 1/4 of the total number of shares subject to the option having vested on July 9, 2010 and 1/48 of the total number of shares subject to the option vesting monthly thereafter.
3. Option granted on March 1, 2012. The option, representing a right to purchase 120,000 shares, vests with respect to 1/48 of the total number of shares subject to the option on June 1, 2013, and 1/48 of the total number of shares subject to the option on the first day of every month thereafter.
4. Each restricted stock unit represents a contingent right to receive one share of Ancestry.com's common stock.
5. On March 1, 2012, the reporting person received 60,000 restricted stock units, vesting 1/16 on June 1, 2013 and 1/16 on the first day of every third month thereafter. Upon vesting, the reporting person will receive a number of shares of common stock equal to the number of restricted stock units that have vested.
Remarks:
/s/ William C. Stern 12/11/2012
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.