SEC Form 4
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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X
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*
Index Ventures V (Jersey), L.P.

(Last) (First) (Middle)
5TH FLOOR, 44 ESPLANADE

(Street)
ST. HELIER Y9 JE1 3FG

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Shapeways Holdings, Inc. [ SHPW ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
04/13/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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 04/13/2022 S 513,804 D $2.3314(1) 4,793,933(2) D(3)
Common Stock 04/13/2022 S 4,162 D $2.3314(1) 38,832(2) I By Index Ventures V Parallel Entrepreneur Fund (Jersey) L.P.(4)
Common Stock 04/13/2022 S 6,556 D $2.3314(1) 61,172(2) I By Yucca (Jersey) SLP(5)
Common Stock 04/14/2022 S 45,746 D $2.4468(6) 4,748,187(2) D(3)
Common Stock 04/14/2022 S 371 D $2.4468(6) 38,461(2) I By Index Ventures V Parallel Entrepreneur Fund (Jersey) L.P.(4)
Common Stock 04/14/2022 S 584 D $2.4468(6) 60,588(2) I By Yucca (Jersey) SLP(5)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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*
Index Ventures V (Jersey), L.P.

(Last) (First) (Middle)
5TH FLOOR, 44 ESPLANADE

(Street)
ST. HELIER Y9 JE1 3FG

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Index Ventures V Parallel Entrepreneur Fund (Jersey), L.P.

(Last) (First) (Middle)
5TH FLOOR, 44 ESPLANADE

(Street)
ST. HELIER Y9 JE1 3FG

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Yucca (Jersey) SLP

(Last) (First) (Middle)
5TH FLOOR, 44 ESPLANADE

(Street)
ST. HELIER Y9 JE1 3FG

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Index Venture Associates V Ltd

(Last) (First) (Middle)
5TH FLOOR, 44 ESPLANADE

(Street)
ST. HELIER Y9 JE1 3FG

(City) (State) (Zip)
Explanation of Responses:
1. The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $2.21 - $2.38. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
2. As disclosed in the reporting persons' Form 3, the amounts listed in column 5 include an aggregate of 541,844 Earnout Shares.
3. Shares held directly by Index Ventures V (Jersey), L.P. ("Index V"). Index Venture Associates V Limited ("IVA V") is the managing general partner of Index V and disclaims Section 16 beneficial ownership of such shares except to the extent of its pecuniary interest therein, if any, and this report shall not be deemed an admission that such shares are beneficially owned by it for Section 16 or any other purpose.
4. Shares held directly by Index Ventures V Parallel Entrepreneur Fund (Jersey), L.P. ("Index V Parallel"). IVA V is the managing general partner of Index V Parallel and disclaims Section 16 beneficial ownership of such shares except to the extent of its pecuniary interest therein, if any, and this report shall not be deemed an admission that such shares are beneficially owned by it for Section 16 or any other purpose.
5. Shares held directly by Yucca (Jersey) SLP ("Yucca"). Yucca is the administrator of the Index co-investment vehicles that are contractually required to mirror the relevant Fund's investment in the issuer (in this case, Index V and Index V Parallel). IVA V disclaims Section 16 beneficial ownership of such shares except to the extent of its pecuniary interest therein, if any, and this report shall not be deemed an admission that such shares are beneficially owned by IVA V for Section 16 or any other purpose.
6. The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $2.33 - $2.56. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Remarks:
Index Ventures V (Jersey) L.P., By: Index Venture Associates V Limited, as Managing General Partner, By: /s/ Luke Aubert, Director 04/15/2022
Index Ventures V Parallel Entrepreneur Fund (Jersey) L.P., By: Index Venture Associates V Limited, as Managing General Partner, By: /s/ Luke Aubert, Director 04/15/2022
Yucca (Jersey) SLP, By: Intertrust Employee Benefit Services Limited as Authorised Signatory of Yucca (Jersey) SLP in its capacity as Administrator of the Index Co-Investment Scheme /s/ Luke Aubert and Chris Gottard, Authorised Signatories 04/15/2022
Index Venture Associates V Limited, By: /s/ Luke Aubert, Director 04/15/2022
** 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).
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