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