SEC FORM 4/A

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^*

Nebergall John

(Last)

(First)

(Middle)

C/O CONSENSUS CLOUD SOLUTIONS, INC.

700 S. FLOWER STREET, 15TH FLOOR

(Street)

LOS ANGELES

90017

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
Consensus Cloud Solutions, Inc. [ CCSI ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
	Chief Operating Officer

3. Date of Earliest Transaction (Month/Day/Year)
10/07/2021

4. If Amendment, Date of Original Filed (Month/Day/Year)
10/12/2021

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)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock⁽¹⁾	12/07/2021		A		10,010⁽¹⁾	A	$0	11,217⁽¹⁾	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)
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)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Performance Stock Units⁽²⁾	$0	10/07/2021		A		2,683⁽²⁾		⁽³⁾	⁽⁴⁾	Common Stock	2,683	$0	2,683⁽²⁾	D

Explanation of Responses:

1. This amendment is being filed to amend the disclosure in Table I, Line 2, Columns 4 and 5 in the Form 4 previously filed on October 12, 2021 by the reporting person in order to disclose the amount of shares subject to certain restricted stock units and/or restricted stock awards (RSUs and/or RSAs) received in connection with the separation of Consensus Cloud Solutions, Inc. ("Consensus") from Ziff Davis, Inc., formerly known as J2 Global, Inc. ("J2 Global"). In connection with the separation, each outstanding J2 Global restricted stock unit award and restricted stock unit or award denominated in shares of Consensus common stock pursuant to the terms of an employee matters agreement between J2 Global and Consensus. When the Form 4 was initially filed on October 12, 2021, the number of underlying shares subject to such awards was not calculable.

2. This amendment is also being filed to report in Table II the number of performance stock units and performance stock awards received in connection with the separation of Consensus from J2 Global. In connection with the separation, each outstanding J2 Global restricted (performance) stock award (PSUs and/or PSAs) was converted into a restricted (performance) stock award denominated in shares of Consensus common stock pursuant to the terms of an employee matters agreement between J2 Global and Consensus. When the Form 4 was initially filed on October 12, 2021, the number of underlying Consensus shares subject to such awards was not calculable.

3. Shares become eligible to vest based on the closing market value of the stock reaching a certain value over a certain period of time, as set by the Compensation Committee.

4. Shares will expire 8 years following the original grant date of March 3, 2021.

Remarks:

	/s/ Vithya Aubee, Attorney-in-Fact	12/21/2021
	** 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).
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