SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Peters John Sheldon

(Last) (First) (Middle)
C/O LEMONADE, INC.
5 CROSBY STREET, 3RD FLOOR

(Street)
NEW YORK NY 10013

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/02/2020
3. Issuer Name and Ticker or Trading Symbol
Lemonade, Inc. [ LMND ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Insurance Officer
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 188,537 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (1) 03/07/2027 Common Stock 75,000 $2.65 D
Stock Option (2) 03/27/2028 Common Stock 50,000 $5.26 D
Stock Option (3) 02/05/2029 Common Stock 50,000 $11.61 D
Stock Option (4) 03/18/2030 Common Stock 50,000 $24.36 D
Explanation of Responses:
1. The option is vested and exercisable as to 56,250 shares, and the remaining shares will vest and become exercisable in three equal quarterly installments beginning on September 8, 2020.
2. The option is vested and exercisable as to 31,250 shares, and the remaining shares will vest and become exercisable in six equal quarterly installments beginning on October 1, 2020.
3. The option is vested and exercisable as to 15,625 shares, and the remaining shares will vest and become exercisable in 11 equal quarterly installments beginning on August 6, 2020.
4. The option will vest and become exercisable as to 25% on March 19, 2021, and in 12 equal quarterly installments thereafter beginning on June 19, 2021.
Remarks:
Exhibit 24 - Power of Attorney.
/s/ Timothy Bixby, Attorney-in-Fact for John Peters 07/02/2020
** 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 5 (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.