0001209191-22-058604.txt : 20221123 0001209191-22-058604.hdr.sgml : 20221123 20221123160506 ACCESSION NUMBER: 0001209191-22-058604 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221122 FILED AS OF DATE: 20221123 DATE AS OF CHANGE: 20221123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FOGELSONG NORMAN A CENTRAL INDEX KEY: 0001140932 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40406 FILM NUMBER: 221416331 MAIL ADDRESS: STREET 1: C/O IVP STREET 2: 3000 SAND HILL ROAD, 2-250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Phelps Dennis B CENTRAL INDEX KEY: 0001299965 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40406 FILM NUMBER: 221416327 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: 2-250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Harrick Stephen J CENTRAL INDEX KEY: 0001299975 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40406 FILM NUMBER: 221416330 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: 2-250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chaffee Todd C CENTRAL INDEX KEY: 0001300134 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40406 FILM NUMBER: 221416333 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: 2-250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dash Somesh CENTRAL INDEX KEY: 0001843938 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40406 FILM NUMBER: 221416332 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Institutional Venture Partners XIV, L.P. CENTRAL INDEX KEY: 0001550180 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40406 FILM NUMBER: 221416335 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 854-0132 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Institutional Venture Management XIV, LLC CENTRAL INDEX KEY: 0001550304 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40406 FILM NUMBER: 221416334 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 854-0132 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Maltz Jules A. CENTRAL INDEX KEY: 0001553254 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40406 FILM NUMBER: 221416329 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller J Sanford CENTRAL INDEX KEY: 0001359524 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40406 FILM NUMBER: 221416328 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 2, SUITE 250 CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER NAME: FORMER CONFORMED NAME: Miller J Sanford (Sandy) DATE OF NAME CHANGE: 20060414 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ZIPRECRUITER, INC. CENTRAL INDEX KEY: 0001617553 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 272976158 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 604 ARIZONA AVENUE CITY: SANTA MONICA STATE: CA ZIP: 90401 BUSINESS PHONE: 877-252-1062 MAIL ADDRESS: STREET 1: 604 ARIZONA AVENUE CITY: SANTA MONICA STATE: CA ZIP: 90401 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-11-22 0 0001617553 ZIPRECRUITER, INC. ZIP 0001550180 Institutional Venture Partners XIV, L.P. 3000 SAND HILL ROAD BLDG. 2, SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001550304 Institutional Venture Management XIV, LLC 3000 SAND HILL ROAD BLDG. 2, SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001300134 Chaffee Todd C 3000 SAND HILL ROAD BLDG. 2, SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001843938 Dash Somesh 3000 SAND HILL ROAD BLDG. 2, SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001140932 FOGELSONG NORMAN A 3000 SAND HILL ROAD BLDG. 2, SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001299975 Harrick Stephen J 3000 SAND HILL ROAD BLDG. 2, SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001553254 Maltz Jules A. 3000 SAND HILL ROAD BLDG. 2, SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001359524 Miller J Sanford 3000 SAND HILL ROAD BLDG. 2, SUITE 250 MENLO PARK CA 94025 0 0 1 0 0001299965 Phelps Dennis B 3000 SAND HILL ROAD BLDG. 2, SUITE 250 MENLO PARK CA 94025 0 0 1 0 Class A Common Stock 2022-11-22 4 C 0 178033 0.00 A 3750000 I By Institutional Venture Partners XIV L.P. Class A Common Stock 1784475 I By Institutional Venture Partners XV,L.P. Class A Common Stock 9495 I By Institutional Venture Partners XV Executive Fund, L.P. Class B Common Stock 2022-11-22 4 C 0 178033 0.00 D Class A Common Stock 178033 11359348 I By Institutional Venture Partners XIV L.P. Class B Common Stock Class A Common Stock 5763820 5763820 I By Institutional Venture Partners XV,L.P. Class B Common Stock Class A Common Stock 30662 30662 I By Institutional Venture Partners XV Executive Fund, L.P. These shares of Class B common stock were converted on a one-for-one basis into Class A common stock for no additional consideration. The shares are held of record or beneficially by Institutional Venture Partners XIV, L.P. ("IVP XIV"). Institutional Venture Management XIV LLC ("IVM XIV") is the general partner of IVP XIV. Todd C. Chaffee, Norman A. Fogelsong, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps, Jr. are the managing directors of IVM XIV and may be deemed to share voting and dispositive power over the shares held by IVP XIV. Each of IVM XIV and Messrs. Chaffee, Fogelsong, Harrick, Maltz, Miller and Phelps disclaims beneficial ownership of the shares held by IVP XIV except to the extent of its or his respective pecuniary interest therein. The shares are held of record or beneficially by Institutional Venture Partners XV, L.P. ("IVP XV"). Institutional Venture Management XV, LLC ("IVM XV") is the general partner of IVP XV. Todd C. Chaffee, Norman A. Fogelsong, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller, Dennis B. Phelps, Jr., Somesh Dash and Eric Liaw are the managing directors of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XV. Each of IVM XV and Messrs. Chaffee, Fogelsong, Harrick, Maltz, Miller, Phelps and Dash disclaims beneficial ownership of the shares held by IVP XV except to the extent of its or his respective pecuniary interest therein. Mr. Liaw is a director of the Issuer and files separate Section 16 reports. The shares are held of record or beneficially by Institutional Venture Partners XV Executive Fund, L.P. ("IVP XV EF"). IVM XV is the general partner of IVP XV EF. Todd C. Chaffee, Norman A. Fogelsong, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller, Dennis B. Phelps, Jr., Somesh Dash and Eric Liaw are the managing directors of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XV EF. Each of IVM XV and Messrs. Chaffee, Fogelsong, Harrick, Maltz, Miller, Phelps and Dash disclaims beneficial ownership of the shares held by IVP XV except to the extent of its or his respective pecuniary interest therein. Mr. Liaw is a director of the Issuer and files separate Section 16 reports. Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date. /s/ Tracy Hogan, as Attorney-in-Fact for Institutional Venture Partners XIV L.P. 2022-11-23 /s/ Tracy Hogan, as Attorney-in-Fact for Institutional Venture Management XIV, LLC 2022-11-23 /s/ Tracy Hogan, as Attorney-in-Fact for Todd C. Chaffee 2022-11-23 /s/ Tracy Hogan, as Attorney-in-Fact for Somesh Dash 2022-11-23 /s/ Tracy Hogan, as Attorney-in-Fact for Norman A. Fogelsong 2022-11-23 /s/ Tracy Hogan, as Attorney-in-Fact for Stephen J. Harrick 2022-11-23 /s/ Tracy Hogan, as Attorney-in-Fact for Jules A. Maltz 2022-11-23 /s/ Tracy Hogan, as Attorney-in-Fact for J. Sanford Miller 2022-11-23 /s/ Tracy Hogan, as Attorney-in-Fact for Dennis B. Phelps, Jr. 2022-11-23