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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 B-1 Preferred Stock | (1) | 11/15/2021 | C | 538,291 | (1) | (1) | Common Stock | 538,291 | $ 0 | 0 | I | Held by Catalyst Investors IV, L.P. (2) | |||
Series B-1 Preferred Stock | (1) | 11/15/2021 | C | 10,169,445 | (1) | (1) | Common Stock | 10,169,445 | $ 0 | 0 | I | Held by Catalyst Investors QP IV, L.P. (2) | |||
Series C Preferred Stock | (1) | 11/15/2021 | C | 8,474 | (1) | (1) | Common Stock | 8,474 | $ 0 | 0 | I | Held by Catalyst Investors IV, L.P. (2) | |||
Series C Preferred Stock | (1) | 11/15/2021 | C | 160,089 | (1) | (1) | Common Stock | 160,089 | $ 0 | 0 | I | Held by Catalyst Investors QP IV, L.P. (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Newton Tyler C/O WEAVE COMMUNICATIONS, INC. 1331 W. POWELL WAY LEHI, UT 84043 |
X |
/s/ Wendy Harper, as Attorney-in-Fact | 11/15/2021 | |
**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) | Each share of Preferred Stock automatically converted into one (1) share of the Issuer's Common Stock, for no additional consideration, immediately prior to the consummation of the Issuer's initial public offering on November 15, 2021, and had no expiration date. |
(2) | The Reporting Person serves as a partner to Catalyst Investors and shares voting and dispositive power with respect to the shares of common stock and preferred stock. Catalyst Investors Partners IV, L.P. ("CIP IV") serves as the general partner of Catalyst Investors IV, L.P. ("CI IV") and Catalyst Investors QP IV, L.P. ("CI QP IV"). Catalyst Investors Partners IV, L.L.C. ("CIP IV LLC") is the general partner of CIP IV. Brian A, Rich, Eugene L, Wolfson and D. Ryan McNally are managers of the board of CIP IV LLC, and as such maybe deemed to have shared voting and dispositive power with respect to the shares held by CI IV and CI QP IV. |