0000899243-21-035103.txt : 20210903 0000899243-21-035103.hdr.sgml : 20210903 20210903160556 ACCESSION NUMBER: 0000899243-21-035103 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210901 FILED AS OF DATE: 20210903 DATE AS OF CHANGE: 20210903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hirsch Douglas Joseph CENTRAL INDEX KEY: 0001822522 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39549 FILM NUMBER: 211236494 MAIL ADDRESS: STREET 1: 233 WILSHIRE ROAD CITY: SANTA MONICA STATE: CA ZIP: 90410 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GoodRx Holdings, Inc. CENTRAL INDEX KEY: 0001809519 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 475104396 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2701 OLYMPIC BOULEVARD CITY: SANTA MONICA STATE: CA ZIP: 90404 BUSINESS PHONE: (855) 268-2822 MAIL ADDRESS: STREET 1: 2701 OLYMPIC BOULEVARD CITY: SANTA MONICA STATE: CA ZIP: 90404 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-01 0 0001809519 GoodRx Holdings, Inc. GDRX 0001822522 Hirsch Douglas Joseph C/O GOODRX HOLDINGS, INC. 2701 OLYMPIC BOULEVARD SANTA MONICA CA 90404 1 1 0 0 Co-CEO Class A Common Stock 2021-09-01 4 C 0 129374 0.00 A 391408 D Restricted Stock Unit 2021-09-01 4 M 0 256594 0.00 D Class B Common Stock 256594 3079134 D Class B Common Stock 2021-09-01 4 M 0 256594 0.00 A Class A Common Stock 256594 256594 D Class B Common Stock 2021-09-01 4 F 0 127220 37.11 D Class A Common Stock 127220 127220 D Class B Common Stock 2021-09-01 4 C 0 129374 0.00 D Class A Common Stock 129374 0 D Each restricted stock unit represents a contingent right to receive one share of Class B common stock. The restricted stock units vested or will vest in 16 equal quarterly installments that commenced on September 1, 2020. Each share of Class B common stock is convertible at any time at the option of the holder into one share of the Issuer's Class A common stock or upon the earliest to occur of (1) the first date on which the aggregate number of outstanding shares of Class B common stock ceases to represent at least 10% of the then-outstanding shares of common stock, (2) the transfer of such share of Class B common stock, other than certain permitted transfers, or (3) September 25, 2027. /s/ Gracye Cheng, Attorney-in-Fact for Douglas Hirsch 2021-09-03