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*
UNION SQUARE VENTURES 2004 LP

(Last) (First) (Middle)
C/O UNION SQUARE VENTURES
915 BROADWAY, 19TH FLOOR

(Street)
NEW YORK NY 10010

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/15/2015
3. Issuer Name and Ticker or Trading Symbol
ETSY INC [ ETSY ]
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)
04/15/2015
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 685,616 I By: Union Square Ventures Opportunity Fund, L.P.(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)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series A-1 Preferred Stock (2) (2) Common Stock 5,950 (2) I By: Union Square Ventures Opportunity Fund, L.P.(1)
Series B Preferred Stock (2) (2) Common Stock 38,110 (2) I By: Union Square Ventures Opportunity Fund, L.P.(1)
Series C Preferred Stock (2) (2) Common Stock 29,380 (2) I By: Union Square Ventures Opportunity Fund, L.P.(1)
Series F Preferred Stock (3) (3) Common Stock 690,131 (3) I By: Union Square Ventures Opportunity Fund, L.P.(1)
1. Name and Address of Reporting Person*
UNION SQUARE VENTURES 2004 LP

(Last) (First) (Middle)
C/O UNION SQUARE VENTURES
915 BROADWAY, 19TH FLOOR

(Street)
NEW YORK NY 10010

(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*
Burnham Brad

(Last) (First) (Middle)
C/O UNION SQUARE VENTURES
915 BROADWAY, 19TH FLOOR

(Street)
NEW YORK NY 10010

(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*
Buttrick John

(Last) (First) (Middle)
C/O UNION SQUARE VENTURES
915 BROADWAY, 19TH FLOOR

(Street)
NEW YORK NY 10010

(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*
Union Square GP 2004, L.L.C.

(Last) (First) (Middle)
C/O UNION SQUARE VENTURES
915 BROADWAY, 19TH FLOOR

(Street)
NEW YORK NY 10010

(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*
Union Square Opportunity GP, L.L.C.

(Last) (First) (Middle)
C/O UNION SQUARE VENTURES
915 BROADWAY, 19TH FLOOR

(Street)
NEW YORK NY 10010

(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*
Weissman Andy

(Last) (First) (Middle)
C/O UNION SQUARE VENTURES
915 BROADWAY, 19TH FLOOR

(Street)
NEW YORK NY 10010

(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*
Wenger Albert

(Last) (First) (Middle)
C/O UNION SQUARE VENTURES
915 BROADWAY, 19TH FLOOR

(Street)
NEW YORK NY 10010

(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*
Union Square Ventures Opportunity Fund LP

(Last) (First) (Middle)
C/O UNION SQUARE VENTURES
915 BROADWAY, 19TH FLOOR

(Street)
NEW YORK NY 10010

(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*
Union Square Principals 2004, a Delaware Multiple Series LLC

(Last) (First) (Middle)
C/O UNION SQUARE VENTURES
915 BROADWAY, 19TH FLOOR

(Street)
NEW YORK NY 10010

(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. Union Square Opportunity GP, L.L.C. ("Opportunity GP") is the general partner of Union Square Ventures Opportunity Fund, L.P. ("Opportunity") and, as such, has the power to vote and dispose of the shares held by Opportunity. Each of Fred Wilson ("Wilson")(a director of the Issuer), Brad Burnham ("Burnham"), Albert Wenger ("Wenger"), John Buttrick ("Buttrick") and Andy Weissman ("Weissman") are managers of Opportunity GP and, as such, share voting and dispositive power of the shares held by Opportunity. Each of Opportunity GP, Wilson, Burnham, Wenger, Buttrick and Weissman disclaim beneficial ownership of the shares owned by Opportunity, except to the extent of his or its respective pecuniary interest therein. As a director of the Issuer, Wilson files Section 16 reports separately.
2. Each share of Series A-1 Preferred Stock, Series B Preferred Stock, Series C Preferred Stock and Series D Preferred Stock automatically converted into five shares of Common Stock of the Issuer upon the closing of the Issuer's initial public offering. The Series A-1 Preferred Stock, Series B Preferred Stock, Series C Preferred Stock and Series D Preferred Stock have no expiration date.
3. Each share of Series F Preferred Stock automatically converted into 0.5 shares of Common Stock of the Issuer upon the closing of the Issuer's initial public offering. The Series F Preferred Stock has no expiration date.
Remarks:
A Form 3 filed with the Securities and Exchange Commission on April 15, 2015 (SEC Accession No. 0001181431-15-005851) was amended on April 23, 2015 (SEC Accession No. 0001209191-15-035761), which amendment erroneously described Union Square Opportunity Fund GP, L.L.C., instead of Union Square Opportunity GP, L.L.C., as the general partner of Union Square Ventures Opportunity Fund, L.P. (and as a reporting owner in that capacity). This further amendment is made to correct those portions of the amended Form 3 that erroneously referenced such name. A prior amendment of the Form 3 was made on May 14, 2015 solely with respect to Union Square Opportunity Fund GP, L.L.C (SEC Accession No. 0001181431-15-006899) with the sole purpose of providing notice that such name had been erroneously included in the April 23, 2015 amendment.
/s/ Bradford Burnham, as a Managing Member of Union Square GP 2004, L.L.C., the General Partner of Union Square Ventures 2004, L.P. 05/14/2015
/s/ Bradford Burnham, as a Managing Member of Union Square GP 2004, L.L.C. 05/14/2015
/s/ Bradford Burnham, as a Managing Member of Union Square GP 2004, L.L.C., the Managing Member of Union Square Principals 2004, a Delaware Multiple Series LLC 05/14/2015
/s/ John Buttrick, as a Managing Member of Union Square Opportunity GP, L.L.C., the General Partner of Union Square Ventures Opportunity Fund, L.P. 05/14/2015
/s/ John Buttrick, as a Managing Member of Union Square Opportunity GP, L.L.C. 05/14/2015
/s/ Bradford Burnham 05/14/2015
/s/ Andy Weissman 05/14/2015
/s/ Albert Wenger 05/14/2015
/s/ John Buttrick 05/14/2015
** 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).
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