Initial Statement of Beneficial Ownership (3)
21 April 2022 - 1:23AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
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3235-0104
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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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1. Name and Address of Reporting Person
*
Carere Brie |
2. Date of Event Requiring Statement (MM/DD/YYYY)
3/3/2022
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3. Issuer Name and Ticker or Trading Symbol
ZIPRECRUITER, INC. [ZIP]
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(Last)
(First)
(Middle)
C/O ZIPRECRUITER, INC., 604 ARIZONA AVE |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__X__ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
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(Street)
SANTA MONICA, CA 90401
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4) | 2. Amount of Securities Beneficially Owned
(Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) | 4. Nature of Indirect Beneficial Ownership
(Instr. 5) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4) | 2. Date Exercisable and Expiration Date
(MM/DD/YYYY) | 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 |
| Restricted Stock Units (RSU) | (1) | 3/2/2032 | Class B Common Stock | 7747 | (2) | D | |
| Explanation of Responses: |
| (1) | The shares subject to the underlying restricted stock units ("RSUs") shall vest over 36 months with 1/3rd of the shares vesting on the date of each annual stockholder meeting in each of 2022, 2023, and 2024, subject in each case to the Reporting Person's continued service as a director of the Board up to and through each applicable vesting date. |
| (2) | Each RSU represents a contingent right to receive one share of the Issuer's Class B Common Stock upon settlement. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Carere Brie
C/O ZIPRECRUITER, INC.
604 ARIZONA AVE
SANTA MONICA, CA 90401 | X |
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Signatures
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| /s/ Ryan Sakamoto, as Attorney-in-Fact | | 4/11/2022 |
| **Signature of Reporting Person | Date |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
| * | 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). |
| Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
| 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. |
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