SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
EPIQ Capital Group, LLC

(Last) (First) (Middle)
ONE LOMBARD STREET. SUITE 200

(Street)
SAN FRANCISCO CA 94111

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Lucira Health, Inc. [ LHDX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
12/14/2022
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 12/14/2022 J(1) 3,461,764 D (1) 9,694,761 D(2)
Common Stock 12/14/2022 J(3) 3,754,084 D (3) 5,940,677 D(4)
Common Stock 12/14/2022 J(5) 5,173,026 D (5) 767,651 D(6)
Common Stock 12/14/2022 J(7) 735,475 D (7) 32,176 D(8)
Common Stock 12/14/2022 J(1)(3)(5) 256,742 A (1)(3)(5) 288,918 I(9) See Footnote(9)
Common Stock 12/14/2022 J(1)(3)(5)(7) 725,675 A (1)(3)(5)(7) 1,014,593 I(10)(11) See Footnotes(10)(11)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
EPIQ Capital Group, LLC

(Last) (First) (Middle)
ONE LOMBARD STREET. SUITE 200

(Street)
SAN FRANCISCO CA 94111

(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*
EPQ LLC, LTEST PS

(Last) (First) (Middle)
ONE LOMBARD STREET, SUITE 200

(Street)
SAN FRANCISCO CA 94111

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director 10% Owner
Officer (give title below) X Other (specify below)
Less than 10% Owner
1. Name and Address of Reporting Person*
EPQ LLC, LFLU PS

(Last) (First) (Middle)
ONE LOMBARD STREET, SUITE 200

(Street)
SAN FRANCISCO CA 94111

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director 10% Owner
Officer (give title below) X Other (specify below)
Less than 10% owner
1. Name and Address of Reporting Person*
EPQ LLC, LCOVD PS

(Last) (First) (Middle)
ONE LOMBARD STREET, SUITE 200

(Street)
SAN FRANCISCO CA 94111

(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*
EPQ LLC, LCOVD SAFE PS

(Last) (First) (Middle)
ONE LOMBARD STREET, SUITE 200

(Street)
SAN FRANCISCO CA 94111

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director 10% Owner
Officer (give title below) X Other (specify below)
Less than 10% owner
1. Name and Address of Reporting Person*
Boeding Chad

(Last) (First) (Middle)
ONE LOMBARD STREET, SUITE 200

(Street)
SAN FRANCISCO CA 94111

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director 10% Owner
Officer (give title below) X Other (specify below)
CEO of 10% owner
Explanation of Responses:
1. On December 14, 2022, EPQ LLC, LTEST PS ("LTEST") distributed, for no consideration, in the aggregate 3,461,764 shares of the Issuer's Common Stock (the "LTEST Shares") to its members, representing each such member's pro rata interest in such LTEST Shares. All of the aforementioned distributions were made in accordance with the exemptions afforded by Rules 16a-13 and 16a-9 of the Securities Exchange Act of 1934, as amended (the "Exchange Act").
2. LTEST is the direct beneficial owner of these shares.
3. On December 14, 2022, EPQ LLC, LFLU PS ("LFLU") distributed, for no consideration, in the aggregate 3,754,084 shares of the Issuer's Common Stock (the "LFLU Shares") to its members, representing each such member's pro rata interest in such LFLU Shares. All of the aforementioned distributions were made in accordance with the exemptions afforded by Rules 16a-13 and 16a-9 of the Exchange Act.
4. LFLU is the direct beneficial owner of these shares.
5. On December 14, 2022, EPQ LLC, LCOVD PS ("LCOVD") distributed, for no consideration, in the aggregate 5,5173,026 shares of the Issuer's Common Stock (the "LCOVD Shares") to its members, representing each such member's pro rata interest in such LCOVD Shares. All of the aforementioned distributions were made in accordance with the exemptions afforded by Rules 16a-13 and 16a-9 of the Exchange Act.
6. LCOVD is the direct beneficial owner of these shares.
7. On December 14, 2022, EPQ LLC, LCOVD SAFE PS ("SAFE") distributed, for no consideration, in the aggregate 735,475 shares of the Issuer's Common Stock (the "SAFE Shares") to its members, representing each such member's pro rata interest in such SAFE Shares. All of the aforementioned distributions were made in accordance with the exemptions afforded by Rules 16a-13 and 16a-9 of the Exchange Act.
8. SAFE is the direct beneficial owner of these shares.
9. The shares are held directly by Chad Boeding (2,941), a trust of which Mr. Boeding is the trustee and beneficial owner (161,949 shares), and a limited liability company of which Mr. Boeding is the managing member (91,852 shares).
10. The shares are held by entities under control of EPIQ Capital Group, LLC ("EPIQ"). None of the reporting persons has any pecuniary interest in these shares.
11. The reporting persons are EPIQ, Chad Boeding, LFLU, LCOVD, SAFE, and LTEST. EPIQ is the managing member of and LFLU, LCOVD, SAFE, and LTEST. Mr. Boeding is the CEO and Manager of EPIQ. EPIQ is filing this Form 4 on behalf of the reporting persons jointly, but not as a group. EPIQ, LFLU, LCOVD, SAFE, LTEST and Mr. Boeding each disclaims beneficial ownership of the securities reported herein for purposes of Section 16 of the Exchange Act except to the extent of its or his pecuniary interest therein, if any. This report shall not be deemed an admission that any of the Reporting Persons is a beneficial owner of such securities for the purpose of Section 16 of the Exchange Act, or for any other purpose.
EPQ LLC, LFLU PS, by EPIQ Capital Group, LLC, its Managing Member, by Chad Boeding, its CEO and Manager, /s/ Chad Boeding 12/16/2022
EPQ LLC, LCOVD PS, by EPIQ Capital Group, LLC, its Managing Member, by Chad Boeding, its CEO and Manager, /s/ Chad Boeding 12/16/2022
EPQ LLC, LCOVD SAFE PS, by EPIQ Capital Group, LLC, its Managing Member, by Chad Boeding, its CEO and Manager, /s/ Chad Boeding 12/16/2022
EPQ LLC, LTEST PS, by EPIQ Capital Group, LLC, its Managing Member, by Chad Boeding, its CEO and Manager, /s/ Chad Boeding 12/16/2022
EPIQ Capital Group, LLC, by Chad Boeding, its CEO and Manager, /s/ Chad Boeding 12/16/2022
/s/ Chad Boeding 12/16/2022
** Signature of Reporting Person Date
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* If the form is filed by more than one reporting person, see Instruction 4 (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).
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