0001209191-21-036704.txt : 20210528 0001209191-21-036704.hdr.sgml : 20210528 20210528201034 ACCESSION NUMBER: 0001209191-21-036704 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210526 FILED AS OF DATE: 20210528 DATE AS OF CHANGE: 20210528 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIEGEL IAN H. CENTRAL INDEX KEY: 0001859448 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40406 FILM NUMBER: 21982446 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 2021-05-26 0 0001617553 ZIPRECRUITER, INC. ZIP 0001859448 SIEGEL IAN H. 604 ARIZONA AVE SANTA MONICA CA 90401 1 1 1 0 Chief Executive Officer Class A Common Stock 2021-05-26 4 C 0 40000 0.00 A 40000 D Class A Common Stock 2021-05-26 4 S 0 40000 20.00 D 0 D Class A Common Stock 2021-05-26 4 S 0 45000 20.94 D 1055000 I See Footnote Class A Common Stock 2021-05-26 4 S 0 20000 20.00 D 35626 I By Robert Eugene Tortorete Class A Common Stock 2021-05-26 4 S 0 40000 20.00 D 44426 I By Ruth Tortorete Class A Common Stock 105532 I See Footnote Class A Common Stock 42213 I By Matthew Siegel Restricted Stock Units 2021-05-26 4 M 0 40000 D 2031-03-23 Class B Common Stock 40000 0 D Class B Common Stock 2021-05-26 4 M 0 40000 A Class A Common Stock 40000 40000 D Class B Common Stock 2021-05-26 4 C 0 40000 D Class A Common Stock 40000 0 D Class B Common Stock Class A Common Stock 13029486 13029486 I See Footnote 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. Represents shares are held by the Siegel Family Trust, of which the Reporting Person and Rochelle Siegel are co-trustees. The Reporting Person has voting, but not dispositive, power over such shares and disclaims beneficial ownership of such shares. Represents shares held by The Siegel Community Property Trust, Dated April 27, 1995, As Amended, of which Michael Siegel and Sheila Siegel are co-trustees. The Reporting Person has voting, but not dispositive, power over such shares. Each restricted stock unit ("RSU") represents a contingent right to receive one share of the Issuer's Class B Common Stock upon settlement. The RSUs shall 100% vest upon the earliest to occur of (a) first trading day following the expiration of the lockup period applicable to the IPO of the Issuer's equity securities pursuant to an effective registration statement, (b) March 15 of the calendar year following the year in which an IPO occurs or (c) a change of control, provided that the Reporting Person remains an employee or provider of service to the Issuer at such time. The Issuer's Board of Directors has waived the foregoing vesting requirement such that the RSUs shall vest in full effective as of the earlier of (a) the first day of trading of the Issuer's Class A Common Stock on the New York Stock Exchange and (b) March 15, 2022. /s/ Ryan Sakamoto, Attorney-in-Fact for Reporting Person 2021-05-28