FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ETSY INC [ ETSY ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 11/06/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 11/06/2015 | J | 4,483,817(1) | D | $0.00 | 8,967,651 | D(2)(3)(4) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. Reflects the distribution of Common Stock consisting of (i) 3,979,474 shares by Union Square Ventures 2004, L.P. ("USV 2004"); (ii) 87,950 shares by Union Square Principals 2004, L.L.C. ("Principals"); and (iii) 416,393 shares by Union Square Ventures Opportunity Fund, L.P. ("Opportunity"), to their respective general and limited partners or members without consideration. As a result of such distributions, Union Square GP 2004, L.L.C. ("USGP"), the general partner of USV 2004 and the managing member of Principals, received 808,579 shares, which it subsequently distributed to its members, and Union Square Opportunity GP L.L.C. ("Opportunity GP"), the general partner of Opportunity, received 84,283 shares, which it subsequently distributed to its members. |
2. Consists of (i) 7,958,952 shares owned by USV 2004; (ii) 175,905 shares owned by Principals; and (iii) 832,794 shares owned by Opportunity. |
3. USGP is the general partner of USV 2004 and the managing member of Principals and, as such, has the sole power to vote and dispose of the shares owned by each of them. Brad Burnham ("Burnham") and Frederick Wilson ("Wilson") (a director of the Issuer) are the managing members of USGP and, as such, may be deemed to share voting and dispositive power over the shares owned by USV 2004 and Principals. As a result of their positions at USGP, Wenger and Buttrick may also be deemed to share voting and dispostive power of the shares owned by each of USV 2004 and Principals. Each of USGP, Burnham, Wilson, Wenger and Buttrick disclaims beneficial ownership of the shares owned by USV 2004 and Principals except to the extent of his or its respective pecuniary interest therein. As a director of the Issuer, Wilson files Section 16 reports separately. |
4. Opportunity GP is the general partner of Opportunity and, as such has the sole power to vote and dispose of the shares owned by Opportunity. Each of Wilson, Burnham, Wenger, Buttrick and Andy Weissman ("Weissman") are managing members of Opportunity GP and, as such, may be deemed to share voting and dispositive power of the shares owned by Opportunity. Each of Opportunity GP, Wilson, Burnham, Wenger, Buttrick and Weissman disclaims 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. |
Remarks: |
/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. | 11/10/2015 | |
/s/ Bradford Burnham, as a Managing Member of Union Square GP 2004, L.L.C. | 11/10/2015 | |
/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 | 11/10/2015 | |
/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. | 11/10/2015 | |
/s/ John Buttrick, as a Managing Member of Union Square Opportunity GP, L.L.C. | 11/10/2015 | |
/s/ Bradford Burnham | 11/10/2015 | |
/s/ Andy Weissman | 11/10/2015 | |
/s/ Albert Wenger | 11/10/2015 | |
/s/ John Buttrick | 11/10/2015 | |
** 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 4 (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. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |