0001209191-22-059024.txt : 20221130 0001209191-22-059024.hdr.sgml : 20221130 20221130160829 ACCESSION NUMBER: 0001209191-22-059024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221128 FILED AS OF DATE: 20221130 DATE AS OF CHANGE: 20221130 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: 221435681 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: 221435677 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: 221435680 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: 221435683 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: 221435682 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: 221435685 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: 221435684 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: 221435679 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: 221435678 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 2022-11-28 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 2022-11-28 4 J 0 3750000 0.00 D 0 I By Institutional Venture Partners XIV L.P. Class A Common Stock 2022-11-28 4 J 0 56250 0.00 A 56250 I By Institutional Venture Management XIV, LLC Class A Common Stock 2022-11-28 4 J 0 56250 0.00 D 0 I By Institutional Venture Management XIV, LLC Class A Common Stock 2022-11-28 4 J 0 9994 0.00 A 9994 D Class A Common Stock 2022-11-28 4 J 0 837 0.00 A 837 D Class A Common Stock 2022-11-28 4 J 0 6995 0.00 A 6995 I By Trust Class A Common Stock 2022-11-28 4 J 0 1000 0.00 A 1000 I By Trust Class A Common Stock 2022-11-28 4 J 0 1000 0.00 A 1000 I By Trust Class A Common Stock 2022-11-28 4 J 0 1000 0.00 A 1000 I By Trust Class A Common Stock 2022-11-28 4 J 0 9994 0.00 A 9994 I By Trust Class A Common Stock 2022-11-28 4 J 0 3331 0.00 A 3331 I By Trust Class A Common Stock 2022-11-28 4 J 0 4997 0.00 A 4997 I By Trust Class A Common Stock 2022-11-28 4 J 0 4997 0.00 A 4997 I By Trust Class A Common Stock 2022-11-28 4 J 0 9994 0.00 A 9994 I By Trust 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. Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by Institutional Venture Partners XIV, L.P. ("IVP XIV") to its general partner and limited partners without additional consideration. The shares are held of record or beneficially by 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. Represents receipt of shares in the distribution in kind described in footnote (1). The shares are held of record or beneficially by IVM 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 IVM XIV. Each of Messrs. Chaffee, Fogelsong, Harrick, Maltz, Miller and Phelps disclaims beneficial ownership of the shares held by IVM XIV except to the extent of his respective pecuniary interest therein. Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by IVM XIV to its members without additional consideration. Represents receipt of shares in the distribution in kind described in footnote (5). The shares are held by Todd C. Chaffee The shares are held by Somesh Dash The shares are held by a family trust, of which Mr. Fogelsong is the trustee. Mr. Fogelsong disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein. The shares are held by a family trust, of which Mr. Harrick is the trustee. Mr. Harrick disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein. The shares are held by a family trust, of which Mr. Maltz is the trustee. Mr. Maltz disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein. The shares are held by a family trust, of which Mr. Miller is the trustee. Mr. Miller disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein. The shares are held by a family trust, of which Mr. Phelps is the trustee. Mr. Phelps disclaims beneficial ownership of these shares except to the extent of his proportionate 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. /s/ Tracy Hogan, as Attorney-in-Fact for Institutional Venture Partners XIV L.P. 2022-11-30 /s/ Tracy Hogan, as Attorney-in-Fact for Institutional Venture Management XIV, LLC 2022-11-30 /s/ Tracy Hogan, as Attorney-in-Fact for Todd C. Chaffee 2022-11-30 /s/ Tracy Hogan, as Attorney-in-Fact for Somesh Dash 2022-11-30 /s/ Tracy Hogan, as Attorney-in-Fact for Norman A. Fogelsong 2022-11-30 /s/ Tracy Hogan, as Attorney-in-Fact for Stephen J. Harrick 2022-11-30 /s/ Tracy Hogan, as Attorney-in-Fact for Jules A. Maltz 2022-11-30 /s/ Tracy Hogan, as Attorney-in-Fact for J. Sanford Miller 2022-11-30 /s/ Tracy Hogan, as Attorney-in-Fact for Dennis B. Phelps, Jr. 2022-11-30