SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Stripes Holdings, LLC

(Last) (First) (Middle)
402 WEST 13TH STREET, 4TH FLOOR

(Street)
NEW YORK NY 10014

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Remitly Global, Inc. [ RELY ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/27/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/27/2021 C 35,895 A (1) 150,752 I See Footnote(2)
Common Stock 09/27/2021 C 749,298 A (1) 900,050 I See Footnote(2)
Common Stock 09/27/2021 C 14,786,424 A (1) 15,686,474 I See Footnote(2)
Common Stock 09/27/2021 C 2,110,038 A (1) 17,796,512 I See Footnote(2)
Common Stock 09/27/2021 C 335,762 A (1) 18,132,274 I See Footnote(2)
Common Stock 09/27/2021 C 475,179 A (1) 18,607,453 I See Footnote(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series Seed Convertible Preferred Stock (1) 09/27/2021 C 38,895 (1) (1) Common Stock 35,895 $0 0 I See Footnote(2)
Series A Convertible Preferred Stock (1) 09/27/2021 C 749,298 (1) (1) Common Stock 749,298 $0 0 I See Footnote(2)
Series C Convertible Preferred Stock (1) 09/27/2021 C 14,786,424 (1) (1) Common Stock 14,786,424 $0 0 I See Footnote(2)
Series D Convertible Preferred Stock (1) 09/27/2021 C 2,110,038 (1) (1) Common Stock 2,110,038 $0 0 I See Footnote(2)
Series E Convertible Preferred Stock (1) 09/27/2021 C 335,762 (1) (1) Common Stock 335,762 $0 0 I See Footnote(2)
Series F Convertible Preferred Stock (1) 09/27/2021 C 475,179 (1) (1) Common Stock 475,179 $0 0 I See Footnote(2)
1. Name and Address of Reporting Person*
Stripes Holdings, LLC

(Last) (First) (Middle)
402 WEST 13TH STREET, 4TH FLOOR

(Street)
NEW YORK NY 10014

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
FOX KENNETH A

(Last) (First) (Middle)
402 WEST 13TH STREET, 4TH FLOOR

(Street)
NEW YORK NY 10014

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Stripes GP III, LLC

(Last) (First) (Middle)
402 WEST 13TH STREET

(Street)
NEW YORK NY 10014

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Stripes III, LP

(Last) (First) (Middle)
402 WEST 13TH STREET, 4TH FLOOR

(Street)
NEW YORK NY 10014

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Each share of the issuer's Series Seed, Series Seed Prime, Series A, Series B, Series C, Series D, Series E and Series F Preferred Stock automatically converted into one (1) share of the issuer's Common Stock on September 27, 2021 in connection with the closing of the issuer's sale of its Common Stock in its firm commitment initial public offering pursuant to a registration statement on Form S-1 (File No. 333-259167) under the Securities Act of 1933, as amended, and had no expiration date.
2. See Exhibit 99.1.
see signatures attached as Exhibit 99.2 09/29/2021
** 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 4 (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).
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