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*
Aguirre Miriam

(Last) (First) (Middle)
C/O SKILLZ INC.
P.O. BOX 445

(Street)
SAN FRANCISCO CA 94104

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Skillz Inc. [ SKLZ ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Technology Officer
3. Date of Earliest Transaction (Month/Day/Year)
08/16/2021
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
Class A common stock 08/16/2021 M 400 A $0.046 701,865 D
Class A common stock 08/16/2021 M 195,862 A $0.046 897,727 D
Class A common stock 08/16/2021 M 203,738 A $0.046 1,101,465 D
Class A common stock 08/16/2021 S 200(1) D $11.1255 1,101,265 D
Class A common stock 08/16/2021 S 200(1) D $11.26 1,101,065 D
Class A common stock 08/16/2021 S 6,312(1) D $11.1 1,094,753 D
Class A common stock 08/16/2021 S 21,398(1) D $11.105 1,073,355 D
Class A common stock 08/16/2021 S 5,011(1) D $11.11 1,068,344 D
Class A common stock 08/16/2021 S 19,818(1) D $11.115 1,048,526 D
Class A common stock 08/16/2021 S 5,250(1) D $11.12 1,043,276 D
Class A common stock 08/16/2021 S 738(1) D $11.122 1,042,538 D
Class A common stock 08/16/2021 S 13,159(1) D $11.125 1,029,379 D
Class A common stock 08/16/2021 S 2,300(1) D $11.13 1,027,079 D
Class A common stock 08/16/2021 S 13,360(1) D $11.135 1,013,719 D
Class A common stock 08/16/2021 S 7,922(1) D $11.14 1,005,797 D
Class A common stock 08/16/2021 S 37,662(1) D $11.145 968,135 D
Class A common stock 08/16/2021 S 6,187(1) D $11.15 961,948 D
Class A common stock 08/16/2021 S 7,997(1) D $11.155 953,951 D
Class A common stock 08/16/2021 S 6,601(1) D $11.16 947,350 D
Class A common stock 08/16/2021 S 10,904(1) D $11.165 936,446 D
Class A common stock 08/16/2021 S 1,917(1) D $11.17 934,529 D
Class A common stock 08/16/2021 S 1,000(1) D $11.175 933,529 D
Class A common stock 08/16/2021 S 1,652(1) D $11.18 931,877 D
Class A common stock 08/16/2021 S 27,550(1) D $11.185 904,327 D
Class A common stock 08/16/2021 S 7,000(1) D $11.225 897,327 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
Stock Option (right to buy) $0.046 08/16/2021 M 400 (2) 07/14/2026 Class A common stock 400 $0.046 425,614 D
Stock Option (right to buy) $0.046 08/16/2021 M 195,862 (2) 07/14/2026 Class A common stock 195,862 $0.046 229,752 D
Stock Option (right to buy) $0.046 08/16/2021 M 203,738 (2) 07/14/2026 Class A common stock 203,738 $0.046 26,014 D
Explanation of Responses:
1. Securities sold to cover costs associated with the exercise of stock options.
2. Twenty-five percent of the stock option grant vested on August 1, 2017 and the remainder vested in quarterly increments thereafter.
Remarks:
/s/ Charlotte Edelman, Attorney-in-Fact 08/17/2021
** 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.
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