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Filing Details

Accession Number:: 0000899243-21-031448
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2021-08-03 21:40:43
Reporting Period:: 2021-07-30

Accepted Time:: 2021-08-03 21:40:43
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1773751	Hims & Hers Health Inc.	HIMS	()	4

Insiders

Cik	Name	Reported Address	Director	Officer	Large Shareholder	Other
1140932	A Norman Fogelsong	2884 Sand Hill Road, Suite 100 Menlo Park CA 94025	No	No	Yes	No
1299965	B Dennis Phelps	2884 Sand Hill Road, Suite 100 Menlo Park CA 94025	No	No	Yes	No
1299975	J Stephen Harrick	2884 Sand Hill Road, Suite 100 Menlo Park CA 94025	No	No	Yes	No
1300134	C Todd Chaffee	2884 Sand Hill Road, Suite 100 Menlo Park CA 94025	No	No	Yes	No
1359524	Sanford J Miller	2884 Sand Hill Road, Suite 100 Menlo Park CA 94025	No	No	Yes	No
1640274	Institutional Venture Partners Xv, L.p.	2884 Sand Hill Road, Suite 100 Menlo Park CA 94025	No	No	Yes	No
1640275	Institutional Venture Management Xv, Llc	2884 Sand Hill Road, Suite 100 Menlo Park CA 94025	No	No	Yes	No
1661321	Institutional Venture Partners Xv Executive Fund, L.p.	2884 Sand Hill Road, Suite 100 Menlo Park CA 94025	No	No	Yes	No
1716992	Institutional Venture Partners Xvi, L.p.	2884 Sand Hill Road, Suite 100 Menlo Park CA 94025	No	No	Yes	No
1716997	Institutional Venture Management Xvi, Llc	2884 Sand Hill Road, Suite 100 Menlo Park CA 94025	No	No	Yes	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Class A Common Stock	Acquisiton	2021-07-30	297	$11.50	54,192	No	4	X	Indirect	Held by Institutional Venture Partners XV Executive Fund, L.P.
Class A Common Stock	Acquisiton	2021-07-30	56,659	$11.50	10,189,290	No	4	X	Indirect	Held by Institutional Venture Partners XV, L.P.
Class A Common Stock	Acquisiton	2021-07-30	56,961	$11.50	10,243,499	No	4	X	Indirect	Held by Institutional Venture Partners XVI, L.P.
Class A Common Stock	Disposition	2021-07-30	218	$0.00	53,974	No	4	S	Indirect	Held by Institutional Venture Partners XV Executive Fund, L.P.
Class A Common Stock	Disposition	2021-07-30	41,532	$0.00	10,147,758	No	4	S	Indirect	Held by Institutional Venture Partners XV, L.P.
Class A Common Stock	Disposition	2021-07-30	41,753	$0.00	10,201,746	No	4	S	Indirect	Held by Institutional Venture Partners XVI, L.P.

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	X	Indirect	Held by Institutional Venture Partners XV Executive Fund, L.P.
No	4	X	Indirect	Held by Institutional Venture Partners XV, L.P.
No	4	X	Indirect	Held by Institutional Venture Partners XVI, L.P.
No	4	S	Indirect	Held by Institutional Venture Partners XV Executive Fund, L.P.
No	4	S	Indirect	Held by Institutional Venture Partners XV, L.P.
No	4	S	Indirect	Held by Institutional Venture Partners XVI, L.P.

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Class A Common Stock	Warrant (right to buy)	Disposition	2021-07-30	297	$0.00	297	$11.50
Class A Common Stock	Warrant (right to buy)	Disposition	2021-07-30	56,659	$0.00	56,659	$11.50
Class A Common Stock	Warrant (right to buy)	Disposition	2021-07-30	56,961	$0.00	56,961	$11.50

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
297	2021-01-20	2026-01-20	No	4	X	Indirect
56,659	2021-01-20	2026-01-20	No	4	X	Indirect
56,961	2021-01-20	2026-01-20	No	4	X	Indirect

Footnotes

IVP XV Executive Fund, IVP XV and IVP XVI (as defined below) exercised warrants to purchase shares of the Issuer's Class A Common Stock. The warrants were exercised on a cashless basis pursuant to Section 6.2 of that certain Warrant Agreement, by and between the Issuer and Continental Stock Transfer & Trust, dated, July 22, 2019 (the "Warrant Agreement"), following the Issuer's Notice of Redemption dated July 9, 2021. In the cashless exercise, under the terms of the Warrant Agreement, IVP XV Executive Fund, IVP XV and IVP XVI received 0.267 shares per warrant exercised and the Issuer withheld 0.733 shares per warrant exercised.
These shares are owned directly by Institutional Venture Partners XV Executive Fund, L.P. ("IVP XV Executive Fund"), of which Institutional Venture Management XV, LLC ("IVM XV") is the sole general partner and exercises voting and investment power over these shares. The managing directors of IVM XV are Todd C. Chaffee, Norman A. Fogelsong, Stephen J. Harrick, Dennis B. Phelps, Jr., J. Sanford Miller, Eric Liaw, Somesh Dash and Jules A. Maltz. The reporting persons disclaim beneficial ownership of these securities, except to the extent of their respective proportionate pecuniary interest therein and this report shall not be deemed an admission that any reporting person is the beneficial owner of such securities for Section 16 or any other purpose. Mr. Maltz is a director of the Issuer and files separate Section 16 reports.
These shares are owned directly by Institutional Venture Partners XV, L.P. ("IVP XV"), of which IVM XV is the sole general partner and exercises voting and investment power over these shares. The managing directors of IVM XV are Todd C. Chaffee, Norman A. Fogelsong, Stephen J. Harrick, Dennis B. Phelps, Jr., J. Sanford Miller, Eric Liaw, Somesh Dash and Jules A. Maltz. The reporting persons disclaim beneficial ownership of these securities, except to the extent of their respective proportionate pecuniary interest therein and this report shall not be deemed an admission that any reporting person is the beneficial owner of such securities for Section 16 or any other purpose. Mr. Maltz is a director of the Issuer and files separate Section 16 reports.
These shares are owned directly by Institutional Venture Partners XVI, L.P. ("IVP XVI"), of which Institutional Venture Management XVI, LLC ("IVM XVI") is the sole general partner and exercises voting and investment power over these shares. The managing directors of IVM XVI are Todd C. Chaffee, Norman A. Fogelsong, Stephen J. Harrick, Dennis B. Phelps, Jr., J. Sanford Miller, Eric Liaw, Somesh Dash, and Jules A. Maltz. The reporting persons disclaim beneficial ownership of these securities, except to the extent of their respective proportionate pecuniary interest therein and this report shall not be deemed an admission that any reporting person is the beneficial owner of such securities for Section 16 or any other purpose. Mr. Maltz is a director of the Issuer and files separate Section 16 reports.
Represents shares of Class A Common Stock withheld in connection with the cashless exercises.