0001209191-21-034264.txt : 20210519 0001209191-21-034264.hdr.sgml : 20210519 20210519213546 ACCESSION NUMBER: 0001209191-21-034264 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210517 FILED AS OF DATE: 20210519 DATE AS OF CHANGE: 20210519 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POULOS WARD CENTRAL INDEX KEY: 0001859346 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40406 FILM NUMBER: 21942177 MAIL ADDRESS: STREET 1: 604 ARIZONA AVE CITY: SANTA MONICA STATE: CA ZIP: 90401 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ZIPRECRUITER, INC. CENTRAL INDEX KEY: 0001617553 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 272976158 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1453 THIRD STREET PROMENADE, SUITE 335 CITY: SANTA MONICA STATE: CA ZIP: 90401 BUSINESS PHONE: (310) 496-1311 MAIL ADDRESS: STREET 1: 1453 THIRD STREET PROMENADE, SUITE 335 CITY: SANTA MONICA STATE: CA ZIP: 90401 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-05-17 0 0001617553 ZIPRECRUITER, INC. ZIP 0001859346 POULOS WARD 604 ARIZONA AVE SANTA MONICA CA 90401 0 0 1 0 Class A Common Stock 2021-05-17 4 C 0 20800 0.00 A 20800 I By Christina Louise Poulos Roach Class A Common Stock 2021-05-17 4 C 0 20800 0.00 A 20800 I By Diana R Poulos Class A Common Stock 2021-05-17 4 C 0 20800 0.00 A 20800 I By Jamie Bassett Class A Common Stock 2021-05-17 4 C 0 20800 0.00 A 20800 I By Marilyn Bassett-Lance Class A Common Stock 2021-05-17 4 C 0 20800 0.00 A 20800 I By Stephen Bassett Class A Common Stock 2021-05-17 4 C 0 20800 0.00 A 20800 I By Sue E Poulos Class A Common Stock 2021-05-17 4 C 0 4133751 0.00 A 4133751 I By The Whittier Trust Company of Nevada, Inc., Trustee of the SSP Trust No. 1 dated July 11, 2017 Class A Common Stock 2021-05-17 4 C 0 1278553 0.00 A 1278553 I By The Whittier Trust Company of Nevada, Inc., Trustee of the SSP Trust No. 2 dated July 11, 2017 Class A Common Stock 2021-05-17 4 C 0 4133750 0.00 A 4133750 I By The Whittier Trust Company of Nevada, Inc., Trustee of the WAP Trust No. 1 dated July 11, 2017 Class A Common Stock 2021-05-17 4 C 0 1278553 0.00 A 1278553 I By The Whittier Trust Company of Nevada, Inc., Trustee of the WAP Trust No. 2 dated July 11, 2017 Class B Common Stock 2021-05-17 4 C 0 20800 0.00 D Class A Common Stock 20800 0 I By Christina Louise Poulos Roach Class B Common Stock 2021-05-17 4 C 0 20800 0.00 D Class A Common Stock 20800 0 I By Diana R Poulos Class B Common Stock 2021-05-17 4 C 0 20800 0.00 D Class A Common Stock 20800 0 I By Jamie Bassett Class B Common Stock 2021-05-17 4 C 0 20800 0.00 D Class A Common Stock 20800 0 I By Marilyn Bassett-Lance Class B Common Stock 2021-05-17 4 C 0 20800 0.00 D Class A Common Stock 20800 0 I By Stephen Bassett Class B Common Stock 2021-05-17 4 C 0 20800 0.00 D Class A Common Stock 20800 0 I By Sue E Poulos Class B Common Stock 2021-05-17 4 C 0 4133751 0.00 D Class A Common Stock 4133751 0 I By The Whittier Trust Company of Nevada, Inc., Trustee of the SSP Trust No. 1 dated July 11, 2017 Class B Common Stock 2021-05-17 4 C 0 1278553 0.00 D Class A Common Stock 1278553 0 I By The Whittier Trust Company of Nevada, Inc., Trustee of the SSP Trust No. 2 dated July 11, 2017 Class B Common Stock 2021-05-17 4 C 0 4133750 0.00 D Class A Common Stock 4133750 0 I By The Whittier Trust Company of Nevada, Inc., Trustee of the WAP Trust No. 1 dated July 11, 2017 Class B Common Stock 2021-05-17 4 C 0 1278553 0.00 D Class A Common Stock 1278553 0 I By The Whittier Trust Company of Nevada, Inc., Trustee of the WAP Trust No. 2 dated July 11, 2017 Represents the conversion of Class B Common Stock held of record by the Reporting Person into Class A Common Stock. Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date. The Reporting Person has voting, but not dispositive, power over such shares and disclaims beneficial ownership of such shares. /s/ Ryan Sakamoto, as Attorney-in-Fact for Reporting Person 2021-05-19