Sec Form 3 Filing - Index Ventures V (Jersey), L.P. @ Shapeways Holdings, Inc. - 2021-09-29

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FORM 3
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
Index Ventures V (Jersey), L.P.
2. Issuer Name and Ticker or Trading Symbol
Shapeways Holdings, Inc. [ SHPW]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
5TH FLOOR, 44 ESPLANADE
3. Date of Earliest Transaction (MM/DD/YY)
09/29/2021
(Street)
ST. HELIER, Y9JE1 3FG
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ 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
Common Stock 5,307,737 ( 1 ) ( 2 ) D ( 3 )
Common Stock 42,994 ( 4 ) ( 2 ) I By Index Ventures V Parallel Entrepreneur Fund (Jersey) L.P. ( 5 )
Common Stock 67,728 ( 6 ) ( 2 ) I By Yucca (Jersey) SLP ( 7 )
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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Index Ventures V (Jersey), L.P.
5TH FLOOR, 44 ESPLANADE
ST. HELIER, Y9JE1 3FG
X
Index Ventures V Parallel Entrepreneur Fund (Jersey), L.P.
5TH FLOOR, 44 ESPLANADE
ST. HELIER, Y9JE1 3FG
X
Yucca (Jersey) SLP
5TH FLOOR, 44 ESPLANADE
ST. HELIER, Y9JE1 3FG
X
Index Venture Associates V Ltd
5TH FLOOR, 44 ESPLANADE
ST. HELIER, Y9JE1 3FG
X
Signatures
Index Ventures V (Jersey) L.P., By: Index Venture Associates V Limited, as Managing General Partner, By: /s/ Luke Aubert, Director 10/08/2021
Signature of Reporting Person Date
Index Ventures V Parallel Entrepreneur Fund (Jersey) L.P., By: Index Venture Associates V Limited, as Managing General Partner, By: /s/ Luke Aubert, Director 10/08/2021
Signature of Reporting Person Date
Index Venture Associates V Limited, By: /s/ Luke Aubert, Director 10/08/2021
Signature of Reporting Person Date
Yucca (Jersey) SLP, By: Intertrust Employee Benefit Services Limited as Authorised Signatory of Yucca (Jersey) SLP in its capacity as Administrator of the Index Co-Investment Scheme /s/ Luke Aubert and Lucy Miller, Authorized Signatories 10/08/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )In connection with the merger described in that certain Agreement and Plan of Merger and Reorganization, dated as of April 28, 2021 (the "Merger Agreement"), by and among Galileo Acquisition Corp., now known as Shapeways Holdings, Inc. (the "Issuer"), Galileo Acquisition Holdings, Inc. ("Merger Sub"), and Shapeways, Inc. ("Shapeways"), pursuant to which Merger Sub merged with and into Shapeways, with Shapeways surviving as a wholly-owned subsidiary of the Issuer (the "Merger"), Index Ventures V (Jersey) L.P. ("Index V") received 5,307,737 shares of Common Stock of the Issuer, which includes 530,773 shares are subject to forfeiture, as described below (the "Earnout Shares").
( 2 )The Earnout Shares will no longer be subject forfeiture upon the satisfaction of certain share price vesting conditions (the "Earnout Conditions") as follows: (i) if, at any time prior to September 29, 2024 (the "Earnout Period") the volume-weighted average price ("VWAP") of the Issuer's Common Stock equals or exceeds $14.00 per share (as adjusted for stock splits, stock dividends, reorganizations and recapitalizations and similar transactions) for 30 consecutive trading days, one half (1/2) of the Earnout Shares shall vest; and (ii) if, at any time during the Earnout Period, the VWAP of the Issuer's Common Stock equals or exceeds $16.00 per share (as adjusted for stock splits, stock dividends, reorganizations and recapitalizations and similar transactions) for 30 consecutive trading days, one half (1/2) of the Earnout Shares shall vest. If the Earnout Conditions are not met during the Earnout Period, then the applicable Earnout Shares shall be automatically forfeited.
( 3 )Shares held directly by Index V. Index Venture Associates V Limited ("IVA V") is the managing general partner of Index V and disclaims Section 16 beneficial ownership of such shares except to the to the extent of its pecuniary interest therein, if any.
( 4 )In connection with the Merger, Index Ventures V Parallel Entrepreneur Fund (Jersey) L.P. ("Index V Parallel") received 42,994 shares of Common Stock of the Issuer, which includes 4,299 Earnout Shares. The Earnout Shares will no longer be subject forfeiture upon the satisfaction of the Earnout Conditions.
( 5 )Shares held directly by Index V Parallel. IVA V is the managing general partner of Index V Parallel and disclaims Section 16 beneficial ownership of such shares except to the to the extent of its pecuniary interest therein, if any.
( 6 )In connection with the Merger, Yucca (Jersey) SLP ("Yucca") received 67,728 shares of Common Stock of the Issuer, which includes 6,772 Earnout Shares. The Earnout Shares will no longer be subject forfeiture upon the satisfaction of the Earnout Conditions.
( 7 )Shares held directly by Yucca. Yucca is the administrator of the Index co-investment vehicles that are contractually required to mirror the relevant Fund's investment in the issuer (in this case, Index V and Index V Parallel). IVA V disclaims Section 16 beneficial ownership of such shares except to the extent of its pecuniary interest therein, if any, and this report shall not be deemed an admission that such shares are beneficially owned by IVA V for Section 16 or any other purpose.

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