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