0001104659-21-133228.txt : 20211102 0001104659-21-133228.hdr.sgml : 20211102 20211102184133 ACCESSION NUMBER: 0001104659-21-133228 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211030 FILED AS OF DATE: 20211102 DATE AS OF CHANGE: 20211102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POLAK REBECCA C. CENTRAL INDEX KEY: 0001478001 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38818 FILM NUMBER: 211372946 MAIL ADDRESS: STREET 1: 611 BAINBRIDGE STREET STREET 2: SUITE 100 CITY: RICHMOND STATE: VA ZIP: 23224 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CarLotz, Inc. CENTRAL INDEX KEY: 0001759008 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 832456129 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 611 BAINBRIDGE STREET STREET 2: SUITE 100 CITY: RICHMOND STATE: VA ZIP: 23224 BUSINESS PHONE: (804) 728-3833 MAIL ADDRESS: STREET 1: 611 BAINBRIDGE STREET STREET 2: SUITE 100 CITY: RICHMOND STATE: VA ZIP: 23224 FORMER COMPANY: FORMER CONFORMED NAME: Acamar Partners Acquisition Corp. DATE OF NAME CHANGE: 20181114 4 1 tm2131747d1_4.xml OWNERSHIP DOCUMENT X0306 4 2021-10-30 0 0001759008 CarLotz, Inc. LOTZ 0001478001 POLAK REBECCA C. C/O CARLOTZ, INC. 611 BAINBRIDGE STREET, SUITE 100 RICHMOND VA 23220 0 1 0 0 CCO and GC Class A Common Stock 2021-10-30 4 M 0 31793 A 31793 D Class A Common Stock 2021-10-30 4 F 0 16462 3.96 D 15331 D Restricted Stock Units 2021-10-30 4 M 0 31793 0 A Class A Common Stock 31793 95382 D Restricted Stock Units convert into Class A Common Stock on a one-for-one basis. The reporting person was granted 127,175 Restricted Stock Units vesting in four equal annual installments beginning from October 30, 2020. /s/ Rebecca C. Polak 2021-11-02