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
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1. Name and Address of Reporting Person*
Dellomo Donna

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

(Street)
STAMFORD CT 06901

(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)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive Vice President, Chie
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 30,000 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 90,000 (2) D
RESTRICTED STOCK UNITS (3) (3) COMMON STOCK 56,676 (2) D
Explanation of Responses:
1. This 120,000 restricted stock unit award was granted on October 26, 2017, with 60,000 units vesting based on time and 60,000 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 56,676 restricted stock unit award was granted on May 10, 2018, with 28,338 units vesting based on time and 28,338 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.
Donna Dellomo 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.