Sec Form 3 Filing - EDMONDS JOSEPH @ ZIPRECRUITER, INC. - 2021-05-14

Insider filing report for Changes in Beneficial Ownership
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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
EDMONDS JOSEPH
2. Issuer Name and Ticker or Trading Symbol
ZIPRECRUITER, INC. [ ZIP]
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)
604 ARIZONA AVENUE
3. Date of Earliest Transaction (MM/DD/YY)
05/14/2021
(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
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
Class B Common Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 12,082,244 D
Class B Common Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 12,800 I By Sun Nam Smith ( 2 )
Class B Common Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 16,000 I By Stacey Martin, as Custodian for Wyatt Martin ( 2 )
Class B Common Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 16,000 I By Nancy Edmonds ( 2 )
Class B Common Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 12,800 I By Mon Agranat ( 2 )
Class B Common Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 12,800 I By Lynn Edmonds ( 2 )
Class B Common Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 16,000 I By Linda Smith ( 2 )
Class B Common Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 12,800 I By Kate Owen, as Custodian for Alejandra Owen ( 2 )
Class B Common Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 12,800 I By Julie Smith ( 2 )
Class B Common Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 16,000 I By David Smith ( 2 )
Class B Common Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 12,800 I By Betheda Edmonds ( 2 )
Class B Common Stock ( 1 ) ( 1 ) ( 1 ) Class A Common Stock 16,000 I By Baird Edmonds ( 2 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
EDMONDS JOSEPH
604 ARIZONA AVENUE
SANTA MONICA, CA90401
X
Signatures
/s/ Ryan Sakamoto, Attorney-in-Fact 05/14/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )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.
( 2 )The Reporting Person has voting, but not dispositive, power over such shares and disclaims beneficial ownership of such shares.

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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