0001398344-20-011331.txt : 20200520 0001398344-20-011331.hdr.sgml : 20200520 20200520202545 ACCESSION NUMBER: 0001398344-20-011331 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200520 FILED AS OF DATE: 20200520 DATE AS OF CHANGE: 20200520 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BEP III LLC CENTRAL INDEX KEY: 0001805468 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39295 FILM NUMBER: 20899696 BUSINESS ADDRESS: STREET 1: 201 TRESSER BOULEVARD STREET 2: SUITE 320 CITY: STAMFORD STATE: CT ZIP: 06901 BUSINESS PHONE: (203) 595-4520 MAIL ADDRESS: STREET 1: 201 TRESSER BOULEVARD STREET 2: SUITE 320 CITY: STAMFORD STATE: CT ZIP: 06901 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SelectQuote, Inc. CENTRAL INDEX KEY: 0001794783 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 943339273 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 6800 WEST 115TH STREET STREET 2: SUITE 2511 CITY: OVERLAND PARK STATE: KS ZIP: 66211 BUSINESS PHONE: 9132741994 MAIL ADDRESS: STREET 1: 6800 WEST 115TH STREET STREET 2: SUITE 2511 CITY: OVERLAND PARK STATE: KS ZIP: 66211 3 1 fp0053985_3.xml X0206 3 2020-05-20 0 0001794783 SelectQuote, Inc. SLQT 0001805468 BEP III LLC 201 TRESSER BOULEVARD SUITE 320 STAMFORD CT 06901 0 0 1 1 Member of 10% owner group Series D Convertible Preferred Stock 2014-07-23 Common Stock 15470824 D Series D Convertible Preferred Stock 2014-07-23 Common Stock 12044344 I Owned by wholly-owned subsidiary, BEP III Co-Invest LLC Par value $0.01 per share. The Series D Convertible Preferred Stock (the "Series D") is convertible into SelectQuote, Inc. Common Stock, par value $0.01 per share ("Common Stock"). on an 8 to 1 basis for no consideration at any time while the Series D is outstanding. The number of underlying shares of Common Stock reported in column 3 reflects an 8 to 1 forward stock split effective as of February 28, 2020. Upon the closing of the Issuer's initial public offering, each share of Series D will be automatically converted into 8 shares of Common Stock. /s/ ___________________ Manager on behalf of BEP III LLC 2020-05-20