SEC FORM 3

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Stripes Holdings, LLC

(Last)

(First)

(Middle)

402 WEST 13TH STREET, 4TH FLOOR

(Street)

NEW YORK

10014

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
09/22/2021

3. Issuer Name and Ticker or Trading Symbol
Remitly Global, Inc. [ RELY ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director	X	10% Owner
Officer (give title below)		Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

	Form filed by One Reporting Person
X	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common stock, $0.0001 par value per share	114,857	I	See Footnote⁽¹⁾

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Series Seed Convertible Preferred Stock	⁽²⁾	⁽²⁾	Common stock, $0.0001 par value per share	35,895	⁽²⁾	I	See Footnote⁽¹⁾
Series A Convertible Preferred Stock	⁽²⁾	⁽²⁾	Common stock, $0.0001 par value per share	749,298	⁽²⁾	I	See Footnote⁽¹⁾
Series C Convertible Preferred Stock	⁽²⁾	⁽²⁾	Common stock, $0.0001 par value per share	14,786,424	⁽²⁾	I	See Footnote⁽¹⁾
Series D Convertible Preferred Stock	⁽²⁾	⁽²⁾	Common stock, $0.0001 par value per share	2,110,038	⁽²⁾	I	See Footnote⁽¹⁾
Series E Convertible Preferred Stock	⁽²⁾	⁽²⁾	Common stock, $0.0001 par value per share	335,762	⁽²⁾	I	See Footnote⁽¹⁾
Series F Convertible Preferred Stock	⁽²⁾	⁽²⁾	Common stock, $0.0001 par value per share	475,179	⁽²⁾	I	See Footnote⁽¹⁾

1. Name and Address of Reporting Person^*

Stripes Holdings, LLC

(Last)

(First)

(Middle)

402 WEST 13TH STREET, 4TH FLOOR

(Street)

NEW YORK

10014

(City)

(State)

(Zip)

Relationship of Reporting Person(s) to Issuer

Director	X	10% Owner
Officer (give title below)		Other (specify below)

1. Name and Address of Reporting Person^*

FOX KENNETH A

(Last)

(First)

(Middle)

402 WEST 13TH STREET, 4TH FLOOR

(Street)

NEW YORK

10014

(City)

(State)

(Zip)

Relationship of Reporting Person(s) to Issuer

Director	X	10% Owner
Officer (give title below)		Other (specify below)

Explanation of Responses:

1. See Exhibit 99.1.

2. Immediately prior to the completion of the Issuer's initial public offering, each outstanding share of the Issuer's convertible preferred stock will automatically convert into common stock at a ratio of one-to-one.

	See Exhibit 99.2	09/22/2021
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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