0001794783-21-000167.txt : 20211209
0001794783-21-000167.hdr.sgml : 20211209
20211209180602
ACCESSION NUMBER: 0001794783-21-000167
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211209
FILED AS OF DATE: 20211209
DATE AS OF CHANGE: 20211209
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Weldon Raymond F
CENTRAL INDEX KEY: 0001804618
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39295
FILM NUMBER: 211483081
MAIL ADDRESS:
STREET 1: 6800 W 115TH STREET
STREET 2: SUITE 2511
CITY: OVERLAND PARK
STATE: KS
ZIP: 66211
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
4
1
wf-form4_163909114437322.xml
FORM 4
X0306
4
2021-12-09
0
0001794783
SelectQuote, Inc.
SLQT
0001804618
Weldon Raymond F
C/O SELECTQUOTE, INC.
6800 WEST 115TH STREET, SUITE 2511
OVERLAND PARK
KS
66211
1
0
0
0
Common Stock, par value $0.01 per share
2021-12-09
4
M
0
4719
0
A
54719
D
Common Stock, par value $0.01 per share
1889285
I
Owned by SQ Co-investors LLC
Common Stock, par value $0.01 per share
8877872
I
Owned by BEP III LLC
Common Stock, par value $0.01 per share
6911600
I
Owned by BEP III Co-Invest LLC
Restricted Stock Units
2021-12-09
4
M
0
4719
0
D
Common Stock, par value $0.01 per share
4719.0
0
D
Mr. Weldon owns an indirect pecuniary interest in the securities reported on this line. Mr. Weldon disclaims beneficial ownership of the securities reported on this line except to the extent of his pecuniary interest therein.
Represents restricted stock units (RSUs) of SelectQuote, Inc. (the "Company") granted to Mr. Weldon under the Company's 2020 Omnibus Incentive Plan.
Each RSU represents a contingent right to receive one share of the Company's common stock, $0.01 par value per share.
The RSUs vest in full on the first anniversary of the grant date (the "Vesting Date"), subject to the recipient's continued service on the Company's Board of Directors as of the Vesting Date.
/s/ Daniel A. Boulware, Attorney in Fact
2021-12-09