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*
Bartolome Lora

(Last) (First) (Middle)
C/O ZIPRECRUITER, INC.
604 ARIZONA AVENUE

(Street)
SANTA MONICA CA 90401

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/23/2023
3. Issuer Name and Ticker or Trading Symbol
ZIPRECRUITER, INC. [ ZIP ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, Accounting & Controller
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)
Class A Common Stock 11,692 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) (2) Class B Common Stock(3) 3,938 $0.00(4) D
Restricted Stock Units (5) (2) Class B Common Stock(3) 7,875 $0.00(4) D
Restricted Stock Units (6) (2) Class A Common Stock 14,344 $0.00(7) D
Restricted Stock Units (8) (2) Class A Common Stock 17,188 $0.00(7) D
Restricted Stock Units (9) (2) Class A Common Stock 23,718 $0.00(7) D
Explanation of Responses:
1. The restricted stock units ("RSUs") vest in three substantially equal increments on each of June 15, 2023, September 15, 2023 and December 2023, subject to the Reporting Person's continued service to the Issuer on each vesting date.
2. RSUs do not expire; they either vest or are canceled prior to vesting date.
3. Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.
4. Each RSU represents a contingent right to receive one share of the Issuer's Class B Common Stock upon settlement.
5. The RSUs vest quarterly in six substantially equal increments beginning June 15, 2023, with the RSUs becoming fully vested on September 15, 2024, subject to the Reporting Person's continued service to the Issuer on each vesting date.
6. The RSUs vest quarterly in nine substantially equal increments beginning June 15, 2023, with the RSUs becoming fully vested on June 15, 2025, subject to the Reporting Person's continued service to the Issuer on each vesting date.
7. Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement.
8. The RSUs vest quarterly in 11 substantially equal increments beginning June 15, 2023, with the RSUs becoming fully vested on December 15, 2025, subject to the Reporting Person's continued service to the Issuer on each vesting date.
9. The RSUs vest quarterly in 15 substantially equal increments beginning June 15, 2023, with the RSUs becoming fully vested on December 15, 2026, subject to the Reporting Person's continued service to the Issuer on each vesting date.
Remarks:
Exhibit 24 - Power of Attorney
/s/ Ryan Sakamoto, Attorney-in-Fact for Reporting Person 05/02/2023
** 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.