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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, Section 17(a) of the Public Utility Holding Company Act of 1935 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 | ||||||||
Class B Common Stock (3) | (3) | (3) | (3) | Class A Common Stock | 108,613 | 108,613 (4) | I | See footnote (2) | |||||||
Class B Common Stock (3) | (3) | (3) | (3) | Class A Common Stock | 57,818 | 57,818 (5) | I | See footnote (6) | |||||||
Class B Common Stock (3) | (3) | (3) | (3) | Class A Common Stock | 925,679 | 925,679 (7) | D | ||||||||
Class B Common Stock (3) | (3) | 05/17/2016 | 05/17/2016 | C(1) | 108,613 | (3) | (3) | Class A Common Stock | 108,613 | $ 0 | 0 | I | See footnote (2) | ||
Class B Common Stock (3) | (3) | 05/18/2016 | 05/18/2016 | G | V | 740,679 | (3) | (3) | Class A Common Stock | 740,679 | $ 0 | 185,000 | D | ||
Class B Common Stock (3) | (3) | 05/18/2016 | 05/18/2016 | G | V | 740,679 | (3) | (3) | Class A Common Stock | 740,679 | $ 0 | 740,679 | I | See footnote (8) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Summers Lawrence Henry 1455 MARKET STREET SUITE 600 SAN FRANCISCO, CA 94103 |
X |
/s/ Jason Gao, Attorney-in-Fact | 05/19/2016 | |
**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 the conversion of Class B Common Stock into Class A Common Stock held of record by the LHS 2014 Qualified Annuity Trust #1S dated February 13, 2014 (LHS 2014 #1S), for which the Reporting Person serves as trustee. |
(2) | The shares are held of record by LHS 2014 #1S. |
(3) | Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date. |
(4) | Reflects the transfer from LHS 2014 #1S to the Reporting Person as an annuity payment. |
(5) | Reflects the transfer from the LHS 2015 Qualified Annuity Trust #2S dated March 26, 2015 (LHS 2015 #2S), for which the Reporting Person serves as trustee, to the Reporting Person as an annuity payment. |
(6) | The shares are held of record by LHS 2015 #2S. |
(7) | Reflects the transfers from LHS 2014 #1S and LHS 2015 #2S to the Reporting Person as annuity payments. |
(8) | The shares are held of record by the LHS 2016 Qualified Annuity Trust - Square, for which the Reporting Person serves as trustee. |