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