Filing Details

Accession Number:
0001667731-23-000508
Form Type:
4
Zero Holdings:
No
Publication Time:
2023-12-28 16:15:59
Reporting Period:
2023-12-26
Accepted Time:
2023-12-28 16:15:59
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1874944 Vacasa Inc. VCSA Services-To Dwellings & Other Buildings (7340) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1890272 Eric Breon 201 Sw Dogwood Ln
White Salmon WA 98672
No No Yes No
1895949 Mossytree Inc. 201 Sw Dogwood Ln
White Salmon WA 98672
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2023-12-26 100,000 $0.00 123,006 No 4 M Indirect Held through Mossytree Inc.
Class A Common Stock Disposition 2023-12-26 5,000 $8.10 118,006 No 4 S Indirect Held through Mossytree Inc.
Class A Common Stock Disposition 2023-12-27 5,000 $7.93 113,006 No 4 S Indirect Held through Mossytree Inc.
Class A Common Stock Disposition 2023-12-28 5,000 $7.94 108,006 No 4 S Indirect Held through Mossytree Inc.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Indirect Held through Mossytree Inc.
No 4 S Indirect Held through Mossytree Inc.
No 4 S Indirect Held through Mossytree Inc.
No 4 S Indirect Held through Mossytree Inc.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock Vacasa Holdings Units Disposition 2023-12-26 100,000 $0.00 100,000 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
2,592,758 No 4 M Indirect
Footnotes
  1. The term "Vacasa Holdings Units" is used herein to represent limited liability company units of Vacasa Holdings LLC and an equal number of paired sharesof Class B common stock of the Issuer, which, pursuant to the limited liability company agreement of Vacasa Holdings LLC, are together redeemable by theholder on a one-for-one basis for, at the option of the Issuer (i) a share of Class A common stock, subject to conversion rate adjustments for stock splits, stockdividends, reclassification and other similar transactions or (ii) an equivalent amount of cash. Upon the redemption of the units, the Issuer cancelled andretired for no consideration an equivalent number of shares of Class B common stock and Vacasa Holdings LLC registered the Issuer as the owner of theredeemed units. Shares of Class B common stock of the Issuer have no economic rights and each share of Class B common stock entitles its holder to 1 voteper share.
  2. Eric Breon is the President of Mossytree Inc. As a result, Mr. Breon may be deemed to share beneficial ownership of the shares held directly by Mossytree Inc.