Sec Form 4 Filing - Maltz Jules A. @ Hims & Hers Health, Inc. - 2023-03-02

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
Maltz Jules A.
2. Issuer Name and Ticker or Trading Symbol
Hims & Hers Health, Inc. [ HIMS]
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)
3000 SAND HILL ROAD BLDG. 2, SUITE 250
3. Date of Earliest Transaction (MM/DD/YY)
03/02/2023
(Street)
MENLO PARK, CA94025
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 03/02/2023 J( 1 ) 2,486,770 D $ 0 7,668,334 ( 2 ) I By Institutional Venture Partners XV, L.P. ( 3 )
Class A Common Stock 03/02/2023 J( 4 ) 13,188 D $ 0 40,786 I By Institutional Venture Partners XV Executive Fund, L.P. ( 5 )
Class A Common Stock 03/02/2023 J( 6 ) 2,500,000 D $ 0 7,709,091 ( 7 ) I By Institutional Venture Partners XVI, L.P. ( 8 )
Class A Common Stock 03/02/2023 J( 9 ) 537,143 A $ 0 537,143 ( 2 ) I By Institutional Venture Management XV, LLC ( 10 )
Class A Common Stock 03/02/2023 J( 11 ) 537,143 D $ 0 0 I By Institutional Venture Management XV, LLC ( 10 )
Class A Common Stock 03/02/2023 J( 12 ) 33,180 A $ 0 33,180 I By IVP Executive Fund XVI, LLC ( 13 )
Class A Common Stock 03/02/2023 J( 12 ) 62,500 A $ 0 62,500 ( 7 ) I By Institutional Venture Management XVI, LLC ( 14 )
Class A Common Stock 03/02/2023 J( 15 ) 62,500 D $ 0 0 I By Institutional Venture Management XVI, LLC ( 14 )
Class A Common Stock 03/02/2023 J( 16 ) 95,401 A $ 0 220,401 I By Jules Maltz and Kelly Greenwood Fam Tr UA 07/31/2018
Class A Common Stock 03/02/2023 S 1,789 D $ 10.1 ( 17 ) 7,666,545 I By Institutional Venture Partners XV, L.P. ( 3 )
Class A Common Stock 03/02/2023 S 51 D $ 10.1 ( 17 ) 40,735 I By Institutional Venture Partners XV Executive Fund, L.P. ( 5 )
Class A Common Stock 03/02/2023 S 1,800 D $ 10.1 ( 17 ) 7,707,291 I By Institutional Venture Partners XVI, L.P. ( 8 )
Class A Common Stock 03/02/2023 S 33,180 D $ 10.1 ( 17 ) 0 I By IVP Executive Fund XVI, LLC ( 13 )
Class A Common Stock 20,863 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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Maltz Jules A.
3000 SAND HILL ROAD BLDG. 2, SUITE 250
MENLO PARK, CA94025
X
Signatures
Jules A. Maltz, By /s/ Tracy Hogan, Attorney-In-Fact 03/06/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by Institutional Venture Partners XV, L.P. ("IVP XV") to its general partner and limited partners without additional consideration.
( 2 )The shares held by Institutional Venture Management XV, LLC ("IVM XV") prior to the transactions reported herein reflect the transfer of shares from IVM XV to IVP XV, which shares were previously held by IVM XV for the benefit of IVP XV and such transfer did not constitute a change in beneficial ownership.
( 3 )Shares are held by IVP XV. IVM XV is the sole general partner of IVP XV. The Reporting Person is a managing director of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XV. The Reporting Person disclaims beneficial ownership of the shares held by IVP XV except to the extent of his pecuniary interest therein.
( 4 )Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by Institutional Venture Partners XV Executive Fund, L.P. ("IVP XV EF") to its limited partners without additional consideration.
( 5 )Shares are held by IVP XV EF. IVM XV is the sole general partner of IVP XV EF. The Reporting Person is a managing director of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVP XV EF. The Reporting Person disclaims beneficial ownership of the shares held by IVP XV EF except to the extent of his pecuniary interest therein.
( 6 )Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by Institutional Venture Partners XVI, L.P. ("IVP XVI") to its general partner and limited partners without additional consideration.
( 7 )The shares held by Institutional Venture Management XVI, LLC ("IVM XVI") prior to the transactions reported herein reflect the transfer of shares from IVM XVI to IVP XVI, which shares were previously held by IVM XVI for the benefit of IVP XVI and such transfer did not constitute a change in beneficial ownership.
( 8 )Shares are held by IVP XVI. IVM XVI is the sole general partner of IVP XVI. The Reporting Person is a managing director of IVM XVI and may be deemed to share voting and dispositive power over the shares held by IVP XVI. The Reporting Person disclaims beneficial ownership of the shares held by IVP XVI except to the extent of his pecuniary interest therein.
( 9 )Represents receipt of shares in the distribution in kind described in footnote (1).
( 10 )Shares are held by IVM XV. The Reporting Person is a managing director of IVM XV and may be deemed to share voting and dispositive power over the shares held by IVM XV. The Reporting Person disclaims beneficial ownership of the shares held by IVM XV except to the extent of his pecuniary interest therein.
( 11 )Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by IVM XV to its members without additional consideration.
( 12 )Represents receipt of shares in the distribution in kind described in footnote (6).
( 13 )Shares are held by IVP Executive Fund XVI, LLC ("IVP XVI EF"). IVM XVI is the manager of IVP XVI EF. The Reporting Person is a managing director of IVM XVI and may be deemed to share voting and dispositive power over the shares held by IVP XVI EF. The Reporting Person disclaims beneficial ownership of the shares held by IVP XVI EF except to the extent of his pecuniary interest therein.
( 14 )Shares are held by IVM XVI. The Reporting Person is a managing director of IVM XVI and may be deemed to share voting and dispositive power over the shares held by IVM XVI. The Reporting Person disclaims beneficial ownership of the shares held by IVM XVI except to the extent of his pecuniary interest therein.
( 15 )Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by IVM XVI to its members without additional consideration.
( 16 )Represents receipt of shares in the distributions in kind described in footnotes (11) and (15).
( 17 )The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $10.01 to $10.20 inclusive. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.

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