0001209191-19-036729.txt : 20190613
0001209191-19-036729.hdr.sgml : 20190613
20190613160752
ACCESSION NUMBER: 0001209191-19-036729
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190611
FILED AS OF DATE: 20190613
DATE AS OF CHANGE: 20190613
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: 19896183
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
2019-06-11
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
Class A Common Stock
2019-06-11
4
A
0
4477
0.00
A
4477
D
Class A Common Stock
9000914
I
See Footnote
Class A Common Stock
6040010
I
See Footnote
These securities are restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of Class A Common Stock. One-fourth of the RSUs shall vest on each of August 20, 2019, November 20, 2019, February 20, 2020, and the earlier of May 20, 2020 or the day prior to the date of the Issuer's 2020 annual meeting of stockholders, subject to the Reporting Person continuing as a service provider through each such 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.
The Reporting Person disclaims beneficial ownership of the shares held by the AH Parallel Fund III Entities and the AH Fund III Entities (as defined below) 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.
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.
/s/ Kevin C. Chen, by power of attorney
2019-06-13