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) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Series G Preferred Stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
21,565,764
(3)
|
$
(2)
|
I
|
By GA TriNet, LLC
(4)
|
Series H Preferred Stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
14,379,872
(5)
|
$
(2)
|
I
|
By GA TriNet, LLC
(4)
|
Series H Preferred Stock
|
Â
(1)
|
Â
(2)
|
Common Stock
|
2,120,072
(6)
|
$
(2)
|
I
|
By HR Acquisitions, LLC
(4)
|
Stock Option (Right to Buy)
|
Â
(7)
|
02/05/2023 |
Common Stock
|
40,000
|
$
0.5
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(8)
|
02/11/2024 |
Common Stock
|
20,000
|
$
10.98
|
D
|
Â
|
* |
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) |
Immediately. |
(2) |
Not applicable. |
(3) |
Common shares issuable upon conversion of 5,391,441 shares of Series G Preferred Stock immediately upon the closing of the initial public offering of Issuer. |
(4) |
The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose. |
(5) |
Common shares issuable upon conversion of 3,594,968 shares of Series H Preferred Stock immediately upon the closing of the initial public offering of Issuer. |
(6) |
Common shares issuable upon conversion of 530,018 shares of Series H Preferred Stock immediately upon the closing of the inital public offering of Issuer. |
(7) |
Option is subject to a 1-year vesting schedule, with 10% vesting upon the 12-month anniversary of February 5, 2013. The option is also subject to accelerated vesting upon certain events. |
(8) |
Option is subject to a 1-year vesting schedule, with 10% vesting upon the 12-month anniversary of February 11, 2014. The option is also subject to accelerated vesting upon certain events. |