0000899243-19-010042.txt : 20190404 0000899243-19-010042.hdr.sgml : 20190404 20190404204725 ACCESSION NUMBER: 0000899243-19-010042 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190402 FILED AS OF DATE: 20190404 DATE AS OF CHANGE: 20190404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miura-Ko R. Ann CENTRAL INDEX KEY: 0001760220 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38846 FILM NUMBER: 19733320 MAIL ADDRESS: STREET 1: C/O LYFT, INC. STREET 2: 185 BERRY STREET, SUITE 5000 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lyft, Inc. CENTRAL INDEX KEY: 0001759509 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 208809830 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 185 BERRY STREET, SUITE 5000 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 844-250-2773 MAIL ADDRESS: STREET 1: 185 BERRY STREET, SUITE 5000 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-04-02 0 0001759509 Lyft, Inc. LYFT 0001760220 Miura-Ko R. Ann C/O FLOODGATE 820 RAMONA STREET, SUITE 200 PALO ALTO CA 94301 1 0 0 0 Common Stock 2019-04-02 4 C 0 1424581 A 1424581 I See Footnote Common Stock 2019-04-02 4 C 0 110436 A 110436 I See Footnote Common Stock 2019-04-02 4 J 0 1424581 D 0 I See Footnote Common Stock 2019-04-02 4 J 0 110436 D 0 I See Footnote Class A Common Stock 2019-04-02 4 J 0 1424581 A 1424581 I See Footnote Class A Common Stock 2019-04-02 4 J 0 110436 A 110436 I See Footnote Class A Common Stock 2019-04-02 4 P 0 1650 72.00 A 1650 D Series Seed Preferred Stock 2019-04-02 4 C 0 1070867 0.00 D Common Stock 1070867 0 I See Footnote Series Seed Preferred Stock 2019-04-02 4 C 0 83005 0.00 D Common Stock 83005 0 I See Footnote Series A Preferred Stock 2019-04-02 4 C 0 243369 0.00 D Common Stock 243369 0 I See Footnote Series A Preferred Stock 2019-04-02 4 C 0 18870 0.00 D Common Stock 18870 0 I See Footnote Series B Preferred Stock 2019-04-02 4 C 0 110345 0.00 D Common Stock 110345 0 I See Footnote Series B Preferred Stock 2019-04-02 4 C 0 8561 0.00 D Common Stock 8561 0 I See Footnote The Series Seed Preferred Stock, Series A Preferred Stock and Series B Preferred Stock automatically converted into Common Stock on a 1:1 basis, for no additional consideration, immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock and had no expiration date. These shares are held directly by Maples Investments II, L.P. ("MI II"). Maples Management II, L.L.C. ("GP II") is the general partner of MI II and may be deemed to have sole voting and dispositive power over the securities held by MI II. The Reporting Person is a non-managing member of GP II and disclaims beneficial ownership of the securities held by MI II, except to the extent of any pecuniary interest therein. These shares are held directly by Maples Associates II, L.P. ("MA II"). GP II is the general partner of MA II and may be deemed to have sole voting and dispositive power over the securities held by MA II. The Reporting Person is a non-managing member of GP II and disclaims beneficial ownership of the securities held by MA II, except to the extent of any pecuniary interest therein. Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was automatically reclassified into one share of Class A Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock. Represents shares acquired pursuant to a directed share program in connection with the Issuer's initial public offering of Class A Common Stock. /s/ David Le, by power of attorney 2019-04-04