SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL 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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Nelson Shawn David

(Last) (First) (Middle)
2 LANDMARK SQUARE
SUITE 300

(Street)
STAMFORD CT 06820

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/26/2018
3. Issuer Name and Ticker or Trading Symbol
Lovesac Co [ LOVE ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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)
COMMON STOCK, $0.00001 PAR VALUE 65,625 D
SERIES A PREFERRED STOCK, $0.00001 PAR VALUE 0 D
SERIES A-1 PREFERRED STOCK, $0.00001 PAR VALUE 0 D
SERIES A-2 PREFERRED STOCK, $0.00001 PAR VALUE 0 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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: 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 (1) (1) COMMON STOCK 196,875 (2) D
RESTRICTED STOCK UNITS (3) (3) COMMON STOCK 297,544 (2) D
Explanation of Responses:
1. This 262,500 restricted stock unit award was granted on October 26, 2017, with 131,250 units vesting based on time and 131,250 units based on performance. The time vesting units vest 25% on January 31, 2018, and 25% on each of the next three anniversaries of that initial vesting date. The performance vesting units vest annually upon the achievement of certain benchmarks.
2. Each restricted stock unit represents the right to receive, at settlement, one (1) share of common stock.
3. This 297,544 restricted stock unit award was granted on May 10, 2018, with 148,772 units vesting based on time and 148,772 units based on performance. The time vesting units vest 25% on the closing of the offering, and 25% on January 31, 2019, 2020 and 2021. The performance vesting units vest annually upon the achievement of certain benchmarks.
Shawn David Nelson 06/26/2018
** 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 Number.