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 A Preferred Stock
|
Â
(2)
|
Â
(3)
|
Common Stock
|
70,016
(4)
|
$
0
|
I
|
By General Partnership
(1)
|
Stock Option (right to buy)
|
Â
(5)
|
03/26/2018 |
Common Stock
|
32,000
|
$
7.75
|
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) |
These shares are held by Hospitality Investments, G.P. The Daniel Meyer Revocable Trust (the "Trust") is the managing general partner of Hospitality Investments, G.P. The Reporting Person is a trustee of the Trust and may be deemed to have shared voting and investment power over the shares held by Hospitality Investments, G.P. The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. |
(2) |
The securities are immediately convertible. |
(3) |
The expiration date is not relevant to the conversion of these securities. |
(4) |
Each share of preferred stock will automatically convert on a 1-for-1 basis into common stock upon the closing of the Issuer's initial public offering. |
(5) |
100% of the shares subject to the option are immediately exercisable. However, all unvested shares of common stock underlying the option are subject to a right of repurchase held by the Issuer, which right of repurchase will lapse as the shares vest pursuant to the following schedule: 1/48th of the shares subject to the option vest on each monthly anniversary of the vesting commencement date, subject to the Reporting Person's continued employment or service relationship with the Issuer on each of the vesting dates. |