0001209191-23-038118.txt : 20230616
0001209191-23-038118.hdr.sgml : 20230616
20230616194121
ACCESSION NUMBER: 0001209191-23-038118
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230615
FILED AS OF DATE: 20230616
DATE AS OF CHANGE: 20230616
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: 231022919
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: 231022915
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: 231022918
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: 231022921
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: 231022920
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: 231022922
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: 231022917
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: 231022916
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Institutional Venture Management XV, LLC
CENTRAL INDEX KEY: 0001640275
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40406
FILM NUMBER: 231022914
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
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
X0407
4
2023-06-15
0
0001617553
ZIPRECRUITER, INC.
ZIP
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
0001640275
Institutional Venture Management XV, LLC
3000 SAND HILL ROAD BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0
Class A Common Stock
2023-06-15
4
J
0
4248
A
4248
D
Class A Common Stock
2023-06-15
4
J
0
4247
A
4247
I
By Institutional Venture Management XV, LLC
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 A Common Stock
1675
D
Class A Common Stock
13991
I
By Trust
Class A Common Stock
1999
I
By Trust
Class A Common Stock
1999
I
By Trust
Class A Common Stock
1999
I
By Trust
Class A Common Stock
19988
I
By Trust
Class A Common Stock
6662
I
By Trust
Class A Common Stock
9994
I
By Trust
Class A Common Stock
9994
I
By Trust
Class A Common Stock
19988
I
By Trust
Represents the receipt of shares from Eric Liaw that Mr. Liaw received pursuant to the Issuer's non-employee director compensation policy. Pursuant to a series of Director Compensation Assignment Agreements, Mr. Liaw has agreed to assign the beneficial interest in any equity awards granted to him for his service as director of the Issuer to Institutional Venture Management XIV, LLC ("IVM XIV") and Institutional Venture Management XV, LLC ("IVM XV").
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.
The shares are held of record or beneficially by IVM 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 IVM XV. Each of Messrs. Chaffee, Fogelsong, Harrick, Maltz, Miller, Phelps and Dash disclaims beneficial ownership of the shares held by IVP XV except to the extent of 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, 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.
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.
/s/ Tracy Hogan, as Attorney-in-Fact for Institutional Venture Management XIV, LLC
2023-06-16
/s/ Tracy Hogan, as Attorney-in-Fact for Todd C. Chaffee
2023-06-16
/s/ Tracy Hogan, as Attorney-in-Fact for Somesh Dash
2023-06-16
/s/ Tracy Hogan, as Attorney-in-Fact for Norman A. Fogelsong
2023-06-16
/s/ Tracy Hogan, as Attorney-in-Fact for Stephen J. Harrick
2023-06-16
/s/ Tracy Hogan, as Attorney-in-Fact for Jules A. Maltz
2023-06-16
/s/ Tracy Hogan, as Attorney-in-Fact for J. Sanford Miller
2023-06-16
/s/ Tracy Hogan, as Attorney-in-Fact for Dennis B. Phelps, Jr.
2023-06-16
/s/ Tracy Hogan, as Attorney-in-Fact for Institutional Venture Management XV, LLC
2023-06-16