0001895949-24-000028.txt : 20240126
0001895949-24-000028.hdr.sgml : 20240126
20240126175812
ACCESSION NUMBER: 0001895949-24-000028
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240125
FILED AS OF DATE: 20240126
DATE AS OF CHANGE: 20240126
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Breon Eric
CENTRAL INDEX KEY: 0001890272
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41130
FILM NUMBER: 24569400
MAIL ADDRESS:
STREET 1: 201 SW DOGWOOD LN
CITY: WHITE SALMON
STATE: WA
ZIP: 98672
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mossytree Inc.
CENTRAL INDEX KEY: 0001895949
ORGANIZATION NAME:
STATE OF INCORPORATION: OR
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41130
FILM NUMBER: 24569401
BUSINESS ADDRESS:
STREET 1: 201 SW DOGWOOD LN
CITY: WHITE SALMON
STATE: WA
ZIP: 98672
BUSINESS PHONE: 208-791-1255
MAIL ADDRESS:
STREET 1: 201 SW DOGWOOD LN
CITY: WHITE SALMON
STATE: WA
ZIP: 98672
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Vacasa, Inc.
CENTRAL INDEX KEY: 0001874944
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TO DWELLINGS & OTHER BUILDINGS [7340]
ORGANIZATION NAME: 07 Trade & Services
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
primary_doc.xml
PRIMARY DOCUMENT
X0508
4
2024-01-25
0
0001874944
Vacasa, Inc.
VCSA
0001895949
Mossytree Inc.
201 SW DOGWOOD LN
WHITE SALMON
WA
98672
0
0
1
0
0001890272
Breon Eric
201 SW DOGWOOD LN
WHITE SALMON
WA
98672
0
0
1
0
0
Class A Common Stock
2024-01-25
4
P
0
5000
8.23
D
66012
I
Held through Mossytree Inc.
Class A Common Stock
2024-01-26
4
P
0
5000
8.03
D
61012
I
Held through Mossytree Inc.
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.
Eric Breon
2024-01-26