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