SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Cohen Jamie

(Last) (First) (Middle)
C/O ANGI HOMESERVICES INC.
14023 DENVER WEST PARKWAY, BUILDING 64

(Street)
GOLDEN CO 80401

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/12/2019
3. Issuer Name and Ticker or Trading Symbol
ANGI Homeservices Inc. [ ANGI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CFO
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Appreciation Rights 06/01/2019(1) 06/01/2025(1) Class A Common Stock, par value $0.001 92,908 $0.98 D
Stock Appreciation Rights 03/12/2019(2) 02/14/2027(2) Class A Common Stock, par value $0.001 418,084 $4.53 D
Restricted Stock Units 02/11/2022(3) 02/11/2022(3) Class A Common Stock, par value $0.001 175,849 $0 D
Explanation of Responses:
1. Represents unvested stock appreciation rights that vest in one installment on June 1, 2019, subject to continued service.
2. Represents 139,361 vested stock appreciation rights and 278,723 unvested stock appreciation rights that vest in two equal installments on each of February 14, 2020 and 2021, subject to continued service.
3. Represents unvested restricted stock units that vest in one lump sum installment on February 11, 2022, subject to continued service.
Tanya M. Stanich as Attorney-in-Fact for Jamie Cohen 03/15/2019
** 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 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.