0001209191-21-008307.txt : 20210205
0001209191-21-008307.hdr.sgml : 20210205
20210205190017
ACCESSION NUMBER: 0001209191-21-008307
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210203
FILED AS OF DATE: 20210205
DATE AS OF CHANGE: 20210205
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Andersen Derek
CENTRAL INDEX KEY: 0001777086
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38017
FILM NUMBER: 21597875
MAIL ADDRESS:
STREET 1: C/O SNAP INC.
STREET 2: 2772 DONALD DOUGLAS LOOP NORTH
CITY: SANTA MONICA
STATE: CA
ZIP: 90405
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Snap Inc
CENTRAL INDEX KEY: 0001564408
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
IRS NUMBER: 455452795
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2772 DONALD DOUGLAS
STREET 2: LOOP NORTH
CITY: SANTA MONICA
STATE: CA
ZIP: 90405
BUSINESS PHONE: (310) 399-3339
MAIL ADDRESS:
STREET 1: 2772 DONALD DOUGLAS
STREET 2: LOOP NORTH
CITY: SANTA MONICA
STATE: CA
ZIP: 90405
FORMER COMPANY:
FORMER CONFORMED NAME: Snapchat Inc
DATE OF NAME CHANGE: 20121211
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-02-03
0
0001564408
Snap Inc
SNAP
0001777086
Andersen Derek
C/O SNAP INC.
2772 DONALD DOUGLAS LOOP NORTH
SANTA MONICA
CA
90405
0
1
0
0
Chief Financial Officer
Class A Common Stock
2021-02-03
4
A
0
99170
0.00
A
1353628
D
Consists of 99,170 shares of Class A Common Stock issued to the reporting person as a restricted stock award, subject to a forfeiture condition. The forfeiture condition will lapse as to approximately 25% of the shares subject to the award on each of March 15, 2024, June 15, 2024, September 15, 2024, and December 15, 2024. If the reporting person dies while in continuous service, the forfeiture condition will lapse immediately as to 100% of the then unvested shares.
/s/ Atul Porwal, Attorney-in-fact
2021-02-05