Sec Form 5 Filing - TRAVERS DAVID @ ZIPRECRUITER, INC. - 2022-12-31

Insider filing report for Changes in Beneficial Ownership
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FORM 5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
TRAVERS DAVID
2. Issuer Name and Ticker or Trading Symbol
ZIPRECRUITER, INC. [ ZIP]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
President
(Last) (First) (Middle)
604 ARIZONA AVE
3. Date of Earliest Transaction (MM/DD/YY)
12/31/2022
(Street)
SANTA MONICA, CA90401
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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
Class A Common Stock 03/15/2022 M 13,000 A $ 0 1,049,260 ( 1 ) D
Class A Common Stock 03/15/2022 F( 2 ) 6,936 D $ 18.92 1,049,260 ( 1 ) D
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Restricted Stock Units ( 3 ) $ 0 ( 4 ) 02/18/2022 A 100,000 ( 3 ) ( 5 ) ( 6 ) Class A Common Stock 100,000 $ 0 68,750 D
Restricted Stock Units $ 0 ( 4 ) 02/18/2022 A 13,000 ( 7 ) ( 6 ) Class A Common Stock 13,000 $ 0 0 D
Restricted Stock Units $ 0 ( 4 ) 03/15/2022 M 13,000 ( 7 ) ( 6 ) Class A Common Stock 13,000 $ 0 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
TRAVERS DAVID
604 ARIZONA AVE
SANTA MONICA, CA90401
President
Signatures
/s/ Ryan Sakamoto, as Attorney-in-Fact 02/14/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Includes 1,925 shares of Class A Common Stock acquired by the Reporting Person on February 14, 2022 pursuant to the Issuer's employee stock purchase plan.
( 2 )Exempt transaction pursuant to Section 16b-3(e) - payment of exercise price or tax liability by delivering or withholding securities incident to the receipt, exercise or vesting of a security issued in accordance with Rule 16b-3. All of the shares reported as disposed of in this Form 4 were relinquished by the Reporting Person and cancelled by the Issuer in exchange for the Issuer's agreement to pay federal and state tax withholding obligations of the Reporting Person resulting from the vesting of restricted stock units ("RSUs"). The Reporting Person did not sell or otherwise dispose of any of the shares reported in this form for any reason other than to cover required taxes.
( 3 )This RSU award was inadvertently reported on Form 4 filed February 14, 2022 with an incorrect grant date of December 15, 2021. The award was granted on February 18, 2022.
( 4 )Each RSU represents a right to receive one share of the Issuer's Class A Common Stock at the time of settlement for no consideration.
( 5 )The RSUs vest as to 1/16 of the total shares quarterly until fully vested, subject to the Reporting Person's continued service to the Issuer on each vesting date. The first two vested tranches settled on March 15, 2022.
( 6 )RSUs do not expire; they either vest or are canceled prior to the vesting date.
( 7 )The RSUs were fully vested on February 18, 2022. Shares of Class A Common Stock were issued to the Reporting Person upon settlement of the RSUs on March 15, 2022.

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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