Sec Form 4 Filing - EPIQ Capital Group, LLC @ Lucira Health, Inc. - 2021-02-05

Insider filing report for Changes in Beneficial Ownership
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FORM 4
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
EPIQ Capital Group, LLC
2. Issuer Name and Ticker or Trading Symbol
Lucira Health, Inc. [ LHDX]
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)
ONE LOMBARD STREET, SUITE 200
3. Date of Earliest Transaction (MM/DD/YY)
02/05/2021
(Street)
SAN FRANCISCO, CA94111
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 02/05/2021 C 32,176 A 32,176 D ( 3 ) ( 9 )
Common Stock 02/05/2021 C 3,754,084 A 3,754,084 D ( 4 ) ( 8 ) ( 9 )
Common Stock 02/05/2021 C 5,173,026 A 5,173,026 D ( 5 ) ( 8 ) ( 9 )
Common Stock 02/05/2021 C 735,475 A $ 17 ( 2 ) 735,475 D ( 6 ) ( 8 ) ( 9 )
Common Stock 02/05/2021 P 3,461,764 A $ 17 3,461,764 D ( 7 ) ( 8 ) ( 9 )
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
Series B Convertible Preferred ( 1 ) 02/05/2021 C 32,176 ( 1 ) ( 1 ) Common Stock 32,176 ( 1 ) 0 D ( 3 ) ( 9 )
Series B Convertible Preferred ( 1 ) 02/05/2021 C 3,754,084 ( 1 ) ( 1 ) Common Stock 3,754,084 ( 1 ) 0 D ( 4 ) ( 8 ) ( 9 )
Series C Convertible Preferred ( 1 ) 02/05/2021 C 5,173,026 ( 1 ) ( 1 ) Common Stock 5,173,026 ( 1 ) 0 D ( 5 ) ( 8 ) ( 9 )
2020B Convertible Promissory Note ( 2 ) 02/05/2021 C 735,475 ( 2 ) 12/11/2022 Common Stock 735,475 $ 17 ( 2 ) 0 D ( 6 ) ( 8 ) ( 9 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
EPIQ Capital Group, LLC
ONE LOMBARD STREET, SUITE 200
SAN FRANCISCO, CA94111
X
EPQ LLC, LFLU PS
9650 GATEWAY DRIVE, SUITE 200
RENO, NV89521
<10% Owner
EPQ LLC, LCOVD PS
9650 GATEWAY DRIVE, SUITE 200
RENO, NV89521
X
EPQ LLC, LCOVD SAFE PS
9650 GATEWAY DRIVE, SUITE 200
RENO, NV89521
<10% Owner
EPQ LLC, LTEST PS
9650 GATEWAY DRIVE, SUITE 200
RENO, NV89521
<10% Owner
Boeding Chad
ONE LOMBARD STREET, SUITE 200
SAN FRANCISCO, CA94111
CEO of 10% Owner
Signatures
EPIQ Capital Group, LLC, by Chad Boeding, its CEO and Manager, /s/ Chad Boeding 02/09/2021
Signature of Reporting Person Date
EPQ LLC, LFLU PS, by EPIQ Capital Group, LLC, its Managing Member, by Chad Boeding, its CEO and Manager, /s/ Chad Boeding 02/09/2021
Signature of Reporting Person Date
EPQ LLC, LCOVD PS, by EPIQ Capital Group, LLC, its Managing Member, by Chad Boeding, its CEO and Manager, /s/ Chad Boeding 02/09/2021
Signature of Reporting Person Date
EPQ LLC, LCOVD SAFE PS, by EPIQ Capital Group, LLC, its Managing Member, by Chad Boeding, its CEO and Manager, /s/ Chad Boeding 02/09/2021
Signature of Reporting Person Date
EPQ LLC, LTEST PS, by EPIQ Capital Group, LLC, its Managing Member, by Chad Boeding, its CEO and Manager, /s/ Chad Boeding 02/09/2021
Signature of Reporting Person Date
/s/ Chad Boeding 02/09/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each share of Series B Preferred Stock and Series C Preferred Stock (the "Preferred Stock") automatically converted on a one-for-one basis into Common Stock upon the closing of the Issuer's initial public offering (the "IPO"), for no additional consideration. The shares of Preferred Stock have no expiration date.
( 2 )The convertible promissory note automatically converted into shares of the Issuer's Common Stock upon the closing of the IPO.
( 3 )Chad Boeding is the beneficial owner of these shares through a trust that he controls.
( 4 )EPQ LLC, LFLU PS ("LFLU") is the direct beneficial owner of these shares.
( 5 )EPQ LLC, LCOVD PS ("LCOVD") is the direct beneficial owner of these shares.
( 6 )EPQ LLC, LCOVD SAFE PS ("SAFE") is the direct beneficial owner of this shares.
( 7 )EPQ LLC, LTEST PS ("LTEST") is the direct beneficial owner of these shares.
( 8 )EPIQ Capital Group, LLC ("EPIQ") may be deemed an indirect beneficial owner of 13,124,349 shares of Issuer's Common Stock, which are held by LFLU (3,754,084 shares), LCOVD (5,173,026 shares), SAFE (735,475 shares), and LTEST (3,461,764 shares).
( 9 )The reporting persons are EPIQ, Chad Boeding, LFLU, LCOVD, SAFE, and LTEST. EPIQ is the managing member of and LFLU, LCOVD, SAFE, and LTEST. Mr. Boeding is the CEO and Manager of EPIQ. EPIQ is filing this Form 4 on behalf of the reporting persons jointly, but not as a group. LFLU, LCOVD, SAFE, LTEST and Mr. Boeding each disclaims beneficial ownership of the securities reported herein for purposes of Section 16 of the Securities Exchange Act of 1934 except to the extent of its or his pecuniary interest therein, if any. This report shall not be deemed an admission that any of the Reporting Persons is a beneficial owner of such securities for the purpose of Section 16 of the Exchange Act, or for any other purpose.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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