0001140361-21-023811.txt : 20210708
0001140361-21-023811.hdr.sgml : 20210708
20210708204923
ACCESSION NUMBER: 0001140361-21-023811
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210630
FILED AS OF DATE: 20210708
DATE AS OF CHANGE: 20210708
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Feiersrtein Matthew David
CENTRAL INDEX KEY: 0001856776
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40575
FILM NUMBER: 211081433
MAIL ADDRESS:
STREET 1: C/O EVERCOMMERCE INC.
STREET 2: 3601 WALNUT STREET, SUITE 400
CITY: DENVER
STATE: CO
ZIP: 80205
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: EverCommerce Inc.
CENTRAL INDEX KEY: 0001853145
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 814063428
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3601 WALNUT STREET
STREET 2: SUITE 400
CITY: DENVER
STATE: CO
ZIP: 80205
BUSINESS PHONE: 720-647-4948
MAIL ADDRESS:
STREET 1: 3601 WALNUT STREET
STREET 2: SUITE 400
CITY: DENVER
STATE: CO
ZIP: 80205
4
1
form4.xml
FORM 4
X0306
4
2021-06-30
0001853145
EverCommerce Inc.
EVCM
0001856776
Feiersrtein Matthew David
C/O EVERCOMMERCE INC.
3601 WALNUT STREET, SUITE 400
DENVER
CO
80205
true
President
Common Stock
2021-07-06
4
C
0
824691
A
1919993
D
Common Stock
2021-07-06
4
A
0
68750
0
A
1988743
D
Common Stock
150000
I
By Family Trust
Series B Preferred Stock
2021-07-06
4
C
0
824691
D
Common Stock
824691
0
D
Stock Option
17
2021-06-30
4
A
0
68750
A
2031-06-29
Common Stock
68750
68750
D
The shares of Convertible Preferred Stock of EverCommerce Inc. (the "Issuer") automatically converted on a one-for-one basis into common stock of the Issuer upon the closing of the Issuer's initial public offering.
Represents an award of Restricted Stock Units ("RSUs"). Each RSU represents a contingent right to receive one share of the Issuer's Common Stock. The RSUs vest with respect to 25% of the underlying shares on July 6, 2022, and with respect to the remaining shares in 12 equal quarterly installments thereafter.
The stock option will vest as to 25% of the underlying shares of Common Stock on July 1, 2022, and with respect to the remaining shares in 12 equal quarterly installments thereafter.
By: /s/ Lisa Storey, Attorney-in-fact
2021-07-08