0000899243-19-010049.txt : 20190404 0000899243-19-010049.hdr.sgml : 20190404 20190404205051 ACCESSION NUMBER: 0000899243-19-010049 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190402 FILED AS OF DATE: 20190404 DATE AS OF CHANGE: 20190404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOROWITZ BENJAMIN A CENTRAL INDEX KEY: 0001166586 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38846 FILM NUMBER: 19733324 MAIL ADDRESS: STREET 1: 2865 SAND HILL ROAD #101 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lyft, Inc. CENTRAL INDEX KEY: 0001759509 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 208809830 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 185 BERRY STREET, SUITE 5000 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 844-250-2773 MAIL ADDRESS: STREET 1: 185 BERRY STREET, SUITE 5000 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-04-02 0 0001759509 Lyft, Inc. LYFT 0001166586 HOROWITZ BENJAMIN A C/O LYFT, INC. 185 BERRY STREET, SUITE 5000 SAN FRANCISCO CA 94107 1 0 0 0 Common Stock 2019-04-02 4 C 0 9000914 A 9000914 I By AH Parallel Fund III, L.P. Common Stock 2019-04-02 4 C 0 6040010 A 6040010 I By Andreessen Horowitz Fund III, L.P. Common Stock 2019-04-02 4 J 0 9000914 D 0 I By AH Parallel Fund III, L.P. Common Stock 2019-04-02 4 J 0 6040010 D 0 I By Andreessen Horowitz Fund III, L.P. Class A Common Stock 2019-04-02 4 J 0 9000914 A 9000914 I By AH Parallel Fund III, L.P. Class A Common Stock 2019-04-02 4 J 0 6040010 A 6040010 I By Andreessen Horowitz Fund III, L.P. Series C Preferred Stock 2019-04-02 4 C 0 5979529 0.00 D Common Stock 5979529 0 I By AH Parallel Fund III, L.P. Series C Preferred Stock 2019-04-02 4 C 0 4035584 0.00 D Common Stock 4035584 0 I By Andreessen Horowitz Fund III, L.P. Series D Preferred Stock 2019-04-02 4 C 0 2969960 0.00 D Common Stock 2969960 0 I By AH Parallel Fund III, L.P. Series D Preferred Stock 2019-04-02 4 C 0 2004426 0.00 D Common Stock 2004426 0 I By Andreessen Horowitz Fund III, L.P. Series E Preferred Stock 2019-04-02 4 C 0 51425 0.00 D Common Stock 51425 0 I By AH Parallel Fund III, L.P. The Series C Preferred Stock, Series D Preferred Stock and Series E Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock and had no expiration date. These shares are held of record by AH Parallel Fund III, L.P. for itself and as nominee for AH Parallel Fund III-A, L.P., AH Parallel Fund III-B, L.P. and AH Parallel Fund III-Q, L.P. (collectively, the "AH Parallel Fund III Entities"). The Reporting Person shares voting and dispositive power with respect to the shares held by the AH Parallel Fund III Entities. These shares are held of record by Andreessen Horowitz III, L.P. for itself and as nominee for Andreessen Horowitz Fund III-A, L.P., Andreessen Horowitz Fund III-B, L.P. and Andreessen Horowitz Fund III-Q, L.P. (collectively, the "AH Fund III Entities"). The Reporting Person shares voting and dispositive power with respect to the shares held by the AH Fund III Entities. The Reporting Person disclaims beneficial ownership of the shares held by the AH Parallel Fund III Entities and the AH Fund III Entities and this report shall not be deemed an admission that he is the beneficial owner of such shares, except to the extent of his pecuniary interest, if any, in such shares by virtue of his interest in the AH Parallel Fund III Entities, the AH Fund III Entities, and/or the general partner entities thereof, as applicable. Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was automatically reclassified into one share of Class A Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock. /s/ David Le, by power of attorney 2019-04-04