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