UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FTV V, L.P. C/O FTV CAPITAL 555 CALIFORNIA STREET, SUITE 2850 SAN FRANCISCO, CA 94104 |
X | |||
FTV Management V, L.L.C. C/O FTV CAPITAL 555 CALIFORNIA STREET, SUITE 2850 SAN FRANCISCO, CA 94104 |
X |
FTV V, L.P., By: FTV Management V, L.L.C., its General Partner, By:/s/ David Haynes, Managing Member | 07/19/2021 | |
**Signature of Reporting Person | Date | |
FTV Management V, L.L.C., By:/s/ David Haynes, Managing Member | 07/19/2021 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | The reported securities are directly held by FTV V, L.P. ("FTV LP"). The general partner of FTV LP is FTV Management V, L.L.C. ("FTV LLC"). FTV LLC is controlled by its managing members. Any action by FTV LLC with respect to the reported securities, including voting and dispositive decisions, requires at least a majority vote of the managing members. Under the so-called "rule of three," because voting and dispositive decisions by FTV LLC require the agreement of a majority of the managing members, each of the managing members disclaim beneficial ownership of the reported securities. Each of the reporting persons disclaim beneficial ownership of the reported securities, except to the extent of such reporting person's pecuniary interest therein. |