0001209191-23-038528.txt : 20230620
0001209191-23-038528.hdr.sgml : 20230620
20230620172836
ACCESSION NUMBER: 0001209191-23-038528
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230616
FILED AS OF DATE: 20230620
DATE AS OF CHANGE: 20230620
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: 001-41059
FILM NUMBER: 231026554
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: 001-41059
FILM NUMBER: 231026550
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: 001-41059
FILM NUMBER: 231026553
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: 001-41059
FILM NUMBER: 231026556
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: Miller J Sanford
CENTRAL INDEX KEY: 0001359524
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 231026551
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: Dash Somesh
CENTRAL INDEX KEY: 0001843938
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 231026555
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 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: 001-41059
FILM NUMBER: 231026557
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: Liaw Eric
CENTRAL INDEX KEY: 0001644264
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 231026549
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 XVI, LLC
CENTRAL INDEX KEY: 0001716997
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41059
FILM NUMBER: 231026548
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: 001-41059
FILM NUMBER: 231026552
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: Lulu's Fashion Lounge Holdings, Inc.
CENTRAL INDEX KEY: 0001780201
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961]
IRS NUMBER: 208442468
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 195 HUMBOLDT AVENUE
CITY: CHICO
STATE: CA
ZIP: 95928
BUSINESS PHONE: 530-343-3545
MAIL ADDRESS:
STREET 1: 195 HUMBOLDT AVENUE
CITY: CHICO
STATE: CA
ZIP: 95928
4
1
doc4.xml
FORM 4 SUBMISSION
X0407
4
2023-06-16
0
0001780201
Lulu's Fashion Lounge Holdings, Inc.
LVLU
0001640275
Institutional Venture Management XV, 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
300 SAND HILL ROAD, BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001140932
FOGELSONG NORMAN A
300 SAND HILL ROAD, BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001299975
Harrick Stephen J
300 SAND HILL ROAD, BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001553254
Maltz Jules A.
300 SAND HILL ROAD, BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001359524
Miller J Sanford
300 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
0001644264
Liaw Eric
3000 SAND HILL ROAD BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0001716997
Institutional Venture Management XVI, LLC
3000 SAND HILL ROAD BLDG. 2, SUITE 250
MENLO PARK
CA
94025
0
0
1
0
0
Common Stock
2023-06-16
4
J
0
22914
D
5944
D
Common Stock
2023-06-16
4
J
0
6765
A
20628
I
By Institutional Venture Management XV, LLC
Common Stock
2023-06-16
4
J
0
16149
A
20628
I
By Institutional Venture Management XVI, LLC
Common Stock
3730160
I
By Institutional Venture Partners XV, L.P.
Common Stock
19843
I
By Institutional Venture Partners XV Executive Fund, L.P.
Common Stock
3749997
I
By Institutional Venture Partners XVI, L.P.
Represents the transfer of shares, which Eric Liaw received pursuant to the Issuer's non-employee director compensation policy, from Mr. Liaw to each of Institutional Venture Management XV, LLC ("IVM XV") and Institutional Venture Management XVI, LLC ("IVM XVI"). 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 IVM XV and IVM XVI.
The shares held directly by Eric Liaw prior to the transactions reported herein reflect the cancellation of unvested RSUs in connection with the completion of Mr. Liaw's service as a director of the Issuer.
The shares are held directly by Eric Liaw.
The shares are held directly by IVM XV. Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Eric Liaw, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps 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, Dash, Fogelsong, Liaw, Harrick, Maltz, Miller and Phelps disclaims beneficial ownership of the shares held by IVM XV except to the extent of his respective proportionate pecuniary interest therein.
The shares are held directly by IVM XVI. Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Stephen J. Harrick, Eric Liaw, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps, Jr. are the managing directors of IVM XVI and may be deemed to share voting and dispositive power over the shares held by IVM XVI. Each of Messrs. Chaffee, Dash, Fogelsong, Harrick, Liaw, Maltz, Miller and Phelps disclaims beneficial ownership of these securities, except to the extent of his respective proportionate pecuniary interest therein.
The shares are held directly by Institutional Venture Partners XV, L.P. ("IVP XV"). IVM XV is the general partner of IVP XV. Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Eric Liaw, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps 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, Dash, Fogelsong, Harrick, Liaw, Maltz, Miller and Phelps disclaims beneficial ownership of the shares held by IVP XV except to the extent of its or his respective proportionate pecuniary interest therein.
The shares are held directly 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, Somesh Dash, Norman A. Fogelsong, Eric Liaw, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps 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, Dash, Fogelsong, Harrick, Liaw, Maltz, Miller and Phelps disclaims beneficial ownership of the shares held by IVP XV EF except to the extent of its or his respective proportionate pecuniary interest therein.
The shares are held directly by Institutional Venture Partners XVI, L.P. ("IVP XVI"). IVM XVI is the general partner of IVP XVI. Todd C. Chaffee, Somesh Dash, Norman A. Fogelsong, Eric Liaw, Stephen J. Harrick, Jules A. Maltz, J. Sanford Miller and Dennis B. Phelps are the managing directors of IVM XVI and may be deemed to share voting and dispositive power over the shares held by IVP XVI. Each of IVM XVI and Messrs. Chaffee, Dash, Fogelsong, Harrick, Liaw, Maltz, Miller and Phelps disclaims beneficial ownership of the shares held by IVP XVI except to the extent of its or his respective proportionate pecuniary interest therein.
/s/Tracy Hogan, Attorney-In-Fact Institutional Venture Management XV, LLC
2023-06-20
/s/ Tracy Hogan, Attorney-In-Fact Todd C. Chaffee
2023-06-20
/s/ Tracy Hogan, Attorney-In-Fact Somesh Dash
2023-06-20
/s/ Tracy Hogan, Attorney-In-Fact Norman A. Fogelsong
2023-06-20
/s/ Tracy Hogan, Attorney-In-Fact Stephen J. Harrick
2023-06-20
/s/ Tracy Hogan, Attorney-In-Fact Jules A. Maltz
2023-06-20
/s/ Tracy Hogan, Attorney-In-Fact Sanford J. Miller
2023-06-20
/s/ Tracy Hogan, Attorney-In-Fact Dennis B. Phelps
2023-06-20
/s/ Tracy Hogan, Attorney-In-Fact Eric Liaw
2023-06-20
/s/ Tracy Hogan, Attorney-In-Fact Institutional Venture Management XVI, LLC
2023-06-20