0001209191-20-058295.txt : 20201113
0001209191-20-058295.hdr.sgml : 20201113
20201113162414
ACCESSION NUMBER: 0001209191-20-058295
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201112
FILED AS OF DATE: 20201113
DATE AS OF CHANGE: 20201113
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Roberts Brian Keith
CENTRAL INDEX KEY: 0001760943
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38846
FILM NUMBER: 201311846
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
2020-11-12
0
0001759509
Lyft, Inc.
LYFT
0001760943
Roberts Brian Keith
C/O LYFT, INC.
185 BERRY STREET, SUITE 5000
SAN FRANCISCO
CA
94107
0
1
0
0
Chief Financial Officer
Class A Common Stock
2020-11-12
4
J
0
2252
0.00
A
6812
I
See Footnote
Class A Common Stock
975374
D
Represents shares received by the Roberts Trust (as defined below) pursuant to pro rata distributions by (i) AH Parallel Fund III, L.P. for itself and as nominee for AH Parallel Fund III-A, L.P., AH Parallel Fund III-B, L.P. and AH Parallel Fund III-Q, L.P. and (ii) Andreessen Horowitz Fund III, L.P. for itself and as nominee for Andreessen Horowitz Fund III-A, L.P., Andreessen Horowitz Fund III-B, L.P. and Andreessen Horowitz Fund III-Q, L.P.
These shares are held of record by Brian K. Roberts and Ann M. Roberts Revocable Trust Dated November 27, 2006 (the "Roberts Trust").
Certain of these securities are restricted stock units. Each restricted stock unit represents a contingent right to receive one share of Class A Common Stock, subject to the applicable vesting schedule and conditions of each restricted stock unit.
/s/ Kevin C. Chen, by power of attorney
2020-11-13