0001209191-20-056025.txt : 20201027
0001209191-20-056025.hdr.sgml : 20201027
20201027202950
ACCESSION NUMBER: 0001209191-20-056025
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201027
FILED AS OF DATE: 20201027
DATE AS OF CHANGE: 20201027
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Malka Meyer
CENTRAL INDEX KEY: 0001571355
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39658
FILM NUMBER: 201265825
MAIL ADDRESS:
STREET 1: C/O MERCADOLIBRE, INC.
STREET 2: ARIAS 3751, 7TH FLOOR
CITY: BUENOS AIRES
STATE: C1
ZIP: C1C1430CRG
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ribbit Capital IV, L.P.
CENTRAL INDEX KEY: 0001697450
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39658
FILM NUMBER: 201265826
BUSINESS ADDRESS:
STREET 1: 364 UNIVERSITY AVE.
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: 650-485-3758
MAIL ADDRESS:
STREET 1: 364 UNIVERSITY AVE.
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ribbit Founder Fund IV, L.P.
CENTRAL INDEX KEY: 0001697451
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39658
FILM NUMBER: 201265827
BUSINESS ADDRESS:
STREET 1: 364 UNIVERSITY AVE.
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: 650-485-3758
MAIL ADDRESS:
STREET 1: 364 UNIVERSITY AVE.
CITY: PALO ALTO
STATE: CA
ZIP: 94301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: RT-E Ribbit Opportunity IV, LLC
CENTRAL INDEX KEY: 0001786047
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39658
FILM NUMBER: 201265828
BUSINESS ADDRESS:
STREET 1: 364 UNIVERSITY AVENUE
CITY: PALO ALTO
STATE: CA
ZIP: 94301
BUSINESS PHONE: 650-241-0701
MAIL ADDRESS:
STREET 1: 364 UNIVERSITY AVENUE
CITY: PALO ALTO
STATE: CA
ZIP: 94301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Root, Inc.
CENTRAL INDEX KEY: 0001788882
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 842717903
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 80 E RICH STREET
STREET 2: SUITE 500
CITY: COLUMBUS
STATE: OH
ZIP: 43215
BUSINESS PHONE: (614) 591-4568
MAIL ADDRESS:
STREET 1: 80 E RICH STREET
STREET 2: SUITE 500
CITY: COLUMBUS
STATE: OH
ZIP: 43215
FORMER COMPANY:
FORMER CONFORMED NAME: Root Stockholdings, Inc.
DATE OF NAME CHANGE: 20190919
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2020-10-27
0
0001788882
Root, Inc.
ROOT
0001571355
Malka Meyer
C/O RIBBIT CAPITAL
364 UNIVERSITY AVE.
PALO ALTO
CA
94301
0
0
1
0
0001697450
Ribbit Capital IV, L.P.
C/O RIBBIT CAPITAL
364 UNIVERSITY AVE.
PALO ALTO
CA
94301
0
0
1
0
0001697451
Ribbit Founder Fund IV, L.P.
C/O RIBBIT CAPITAL
364 UNIVERSITY AVE.
PALO ALTO
CA
94301
0
0
1
0
0001786047
RT-E Ribbit Opportunity IV, LLC
C/O RIBBIT CAPITAL
364 UNIVERSITY AVE.
PALO ALTO
CA
94301
0
0
1
0
Series B Preferred Stock
Common Stock
19992630
I
See footnote
Series C Preferred Stock
Common Stock
8321420
I
See footnote
Series D Preferred Stock
Common Stock
870286
I
See footnote
Series E Preferred Stock
Common Stock
4548046
I
See footnote
Each share of Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series E Preferred Stock is convertible into Common Stock on a 1:1 basis and has no expiration date. Immediately prior to the completion of the Issuer's initial public offering, all shares of Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock and Series E Preferred Stock will be converted into shares of Common Stock.
Each share of Common Stock shall be reclassified into one share of Class B Common Stock immediately prior to the completion of the Issuer's
initial public offering of Class A Common Stock.
Shares are owned of record by Ribbit Capital IV, L.P. ("Fund IV") for itself and as nominee for Ribbit Founder Fund IV, L.P. ("FF IV"). Meyer Malka is the sole director of Ribbit Capital GP IV, Ltd., the general partner of Ribbit Capital GP VI, L.P., the general partner of each of Fund IV and FF IV, and as such, may be deemed to hold voting and investment power with respect to such shares. Meyer Malka disclaims beneficial ownership with regard to such shares, except to the extent of his proportionate pecuniary interest therein.
Includes 4,244,843 shares owned of record by RT-E Ribbit Opportunity IV, LLC ("Ribbit RT-E") and 303,203 shares are owned of record by Fund IV for itself and as nominee for FF IV. Meyer Malka is the sole director of Ribbit Capital GP IV, Ltd., the general partner of Ribbit Capital GP VI, L.P., the general partner of each of Fund IV and FF IV and the managing member of Ribbit RT-E, and as such, may be deemed to hold voting and investment power with respect to such shares. Meyer Malka disclaims beneficial ownership with regard to such shares, except to the extent of his proportionate pecuniary interest therein.
/s/ Meyer Malka
2020-10-27
/s/ Meyer Malka, sole director of Ribbit Capital GP IV, Ltd., the general partner of the general partner
2020-10-27
/s/ Meyer Malka, sole director of Ribbit Capital GP IV, Ltd., the general partner of the general partner
2020-10-27
/s/ Meyer Malka, sole director of Ribbit Capital GP IV, Ltd., the general partner of the managing member
2020-10-27