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*
Searchlight Capital Partners II GP, LLC

(Last) (First) (Middle)
745 FIFTH AVENUE, 27TH FLOOR

(Street)
NEW YORK NY 10151

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/04/2020
3. Issuer Name and Ticker or Trading Symbol
Shift4 Payments, Inc. [ FOUR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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)
Class B Common Stock 13,030,711 I See footnote(1)(2)
Class C Common Stock 15,113,373 I See footnote(2)(3)
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
LLC Interests (4) (4) Class A Common Stock 13,030,711 (4) I See footnote(2)(5)
1. Name and Address of Reporting Person*
Searchlight Capital Partners II GP, LLC

(Last) (First) (Middle)
745 FIFTH AVENUE, 27TH FLOOR

(Street)
NEW YORK NY 10151

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Searchlight Capital Partners II GP, L.P.

(Last) (First) (Middle)
745 FIFTH AVENUE, 27TH FLOOR

(Street)
NEW YORK NY 10151

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Searchlight Capital II PV, L.P.

(Last) (First) (Middle)
745 FIFTH AVENUE, 27TH FLOOR

(Street)
NEW YORK NY 10151

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Searchlight Capital II, L.P.

(Last) (First) (Middle)
745 FIFTH AVENUE, 27TH FLOOR

(Street)
NEW YORK NY 10151

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Searchlight II GWN, L.P.

(Last) (First) (Middle)
745 FIFTH AVENUE, 27TH FLOOR

(Street)
NEW YORK NY 10151

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Represents 1,056,558 securities held of record by Searchlight Capital II, L.P. and 11,974,153 securities held of record by Searchlight Capital II PV, L.P.
2. Searchlight Capital Partners II GP, LP, as the general partner of Searchlight Capital II PV, L.P, Searchlight Capital II, L.P. and Searchlight II GWN, L.P.(the "Record Holders"), may be deemed to share beneficial ownership over the securities held by the Record Holders. Searchlight Capital Partners II GP, LLC, as the general partner of Searchlight Capital Partners II GP, LP, may be deemed to share beneficial ownership over the securities held by the Record Holders.
3. Represents 14,815,289 securities held of record by Searchlight Capital II, L.P. and 298,084 securities held of record by Searchlight Capital II PV, L.P.
4. The LLC Interests may be redeemed by the Reporting Person at any time on or following the closing of the Initial Public Offering for shares of Class A Common Stock on a 1-to-1 basis.
5. Represents securities held directly by Searchlight II GWN, L.P.
Remarks:
Searchlight Capital Partners II GP, LLC, By: /s/ Andrew Frey, authorized person 06/05/2020
Searchlight Capital Partners II GP, LP, By: Searchlight Capital Partners II GP, LLC , its general partner, By: /s/ Andrew Frey, authorized person 06/05/2020
Searchlight Capital II PV, L.P., By: Searchlight Capital Partners II GP, LP, its general partner, By: Searchlight Capital Partners II GP LLC, its general partner, By: /s/ Andrew Frey, authorized person 06/05/2020
Searchlight Capital II, L.P., By: Searchlight Capital Partners II GP, LP, its general partner, By: Searchlight Capital Partners II GP, LLC, its general partner, By: /s/ Andrew Frey, authorized person 06/05/2020
Searchlight II GWN, L.P., By: Searchlight Capital Partners II GP, LP, its general partner, By: Searchlight Capital Partners II GP, LLC, its general partner, By: /s/ Andrew Frey, authorized person 06/05/2020
** 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.