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