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*
Amaya Steven

(Last) (First) (Middle)
C/O TASKUS, INC.
1650 INDEPENDENCE DRIVE, SUITE 100

(Street)
NEW BRAUNFELS TX 78132

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/11/2021
3. Issuer Name and Ticker or Trading Symbol
TaskUs, Inc. [ TASK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks
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)
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
Stock Options (1) 05/17/2029 Class A Common Stock 14,440 $2.33 D
Stock Options (1) 10/27/2030 Class A Common Stock 277,840 $11.96 D
Phantom Shares (2) (2) Class A Common Stock 19,480 (2) D
Restricted Stock Units (3) (3) Class A Common Stock 17,391 (3) D
Explanation of Responses:
1. These stock options vest upon the achievement of certain performance events determined as of each of June 10, 2022, June 10, 2023 and June 10, 2024, as more fully described in the Issuer's Registration Statement on Form S-1 (File No. 333-255190). If such performance events are determined to have been met as of such dates, the options shall vest as follows: (a) up to 25% shall vest on June 10, 2022, (b) up to 50% of the then-remaining unvested options shall vest on June 10, 2023, and (c) up to 100% of the then-remaining unvested options shall vest on June 10, 2024.
2. Each share of phantom stock is the economic equivalent of one shares of Issuer Class A common stock. Of the phantom shares reported herein, 12,980 are vested and the remaining will be canceled upon the closing of the Issuer's initial public offering. Vested phantom shares will be paid out in cash at the initial public offering price, plus certain dividends, within 30 days following the closing of the initial public offering.
3. Represents restricted stock units that vest in four equal annual installments beginning on June 15, 2022. Each restricted stock unit represents a contingent right to receive one share of Issuer Class A common stock. The restricted stock units will be settled in either Class A common stock or cash (or a combination thereof).
Remarks:
VP, Principal Accounting Officer Exhibit 24 - Power of Attorney
/s/ Jeffrey Chugg, as Attorney-in-Fact 06/11/2021
** 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.
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