0001874944-22-000029.txt : 20220525 0001874944-22-000029.hdr.sgml : 20220525 20220525153641 ACCESSION NUMBER: 0001874944-22-000029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220524 FILED AS OF DATE: 20220525 DATE AS OF CHANGE: 20220525 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Breon Eric CENTRAL INDEX KEY: 0001890272 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41130 FILM NUMBER: 22962689 MAIL ADDRESS: STREET 1: C/O VACASA, INC. STREET 2: 850 NW 13TH AVENUE CITY: PORTLAND STATE: OR ZIP: 097209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vacasa, Inc. CENTRAL INDEX KEY: 0001874944 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TO DWELLINGS & OTHER BUILDINGS [7340] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 850 NW 13TH AVENUE CITY: PORTLAND STATE: OR ZIP: 097209 BUSINESS PHONE: (800) 544-0300 MAIL ADDRESS: STREET 1: 850 NW 13TH AVENUE CITY: PORTLAND STATE: OR ZIP: 097209 4 1 wf-form4_165350737741190.xml FORM 4 X0306 4 2022-05-24 0 0001874944 Vacasa, Inc. VCSA 0001890272 Breon Eric C/O VACASA, INC. 850 NW 13TH AVENUE PORTLAND OR 97209 1 0 1 0 Class A Common Stock 2022-05-24 4 A 0 33999 0 A 33999 D Class A Common Stock 605777 I Held through Mossytree Inc. Represents an award of restricted stock units, which vests in full on the earlier of (i) the first anniversary of the grant date and (ii) immediately before the next annual meeting of stockholders of the Issuer following the grant date. Each restricted stock unit represents a contingent right to receive one share of Issuer's Class A Common Stock. Eric Breon is the President of Mossytree Inc. As a result, Mr. Breon may be deemed to share beneficial ownership of the shares held directly by Mossytree Inc. /s/ Lisa Jurinka, Attorney-in-fact 2022-05-25