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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Preferred Stock | (2) | 10/12/2021 | C | 1,820,108 (7) | (2) | (2) | Common Stock | 2,241,700 (8) | (2) | 0 (9) | I | See footnote. (4) (9) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Galashan John Kristofer 11111 SANTA MONICA BLVD. SUITE 2000 LOS ANGELES, CA 90025 |
X | X |
/s/ Andrew C. Goldberg, Attorney-in-fact | 10/14/2021 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Represents shares of Common Stock of the Issuer acquired by Green LTF Holdings II LP ("Green LTF"), LGP Associates VI-A LLC ("Associates VI-A"), and LGP Associates VI-B LLC ("Associates VI-B") pursuant to the automatic conversion of shares of the Issuer's Series A Preferred Stock upon the closing of the Issuer's initial public offering in accordance with the Certificate of Designation pertaining to the Series A Preferred Stock. Of the shares of Common Stock reported, 2,197,020 are held by Green LTF, 4,074 are held by Associates VI-A, and 40,606 are held by Associates VI-B. |
(2) | Each share of Series A Preferred Stock automatically converted into common stock upon the closing of the Issuer's initial public offering in accordance with the Certificate of Designations pertaining to the Series A Preferred Stock. |
(3) | Represents shares of Common Stock owned by Green LTF, Associates VI-A, and Associates VI-B. Of the shares of Common Stock reported, 52,670,520 are held by Green LTF, 97,678 are held by Associates VI-A, and 973,502 are held by Associates VI-B. |
(4) | Mr. Galashan directly {whether through ownership or position) or indirectly through one or more intermediaries, may be deemed for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, to be the indirect beneficial owner of the securities owned by Green LTF, Associates VI-A, and Associates VI-B. Mr. Galashan disclaims beneficial ownership of the securities reported herein except to the extent of his pecuniary interest therein and this report shall not be deemed an admission that he is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. |
(5) | Represents shares of Common Stock purchased by Green LTF. |
(6) | Represents shares of Common Stock owned by Green LTF, Associates VI-A, and Associates VI-B. Of the shares of Common Stock reported, 57,670,520 are held by Green LTF, 97,678 are held by Associates VI-A, and 973,502 are held by Associates VI-B. |
(7) | Represents shares of Series A Preferred Stock held by Green LTF, Associates VI-A, and Associates VI-B. Of the shares of Series A Preferred Stock reported, 1,783,830 are held by Green LTF, 3,308 are held by Associates VI-A, and 32,970 are held by Associates VI-B. |
(8) | Represents shares of Common Stock underlying the shares of Series A Preferred Stock held by Green LTF, Associates VI-A, and Associates VI-B. Of the underlying shares of Common Stock reported, 2,197,020 are held by Green LTF, 4,074 are held by Associates VI-A, and 40,606 are held by Associates VI-B. |
(9) | Represents shares of Series A Preferred Stock held by Green LTF, Associates VI-A, and Associates V-B. Of the shares of Series A Preferred Stock reported, 0 are held by Green LTF, 0 are held by Associates VI-A, and 0 are held by Associates VI-B. |