Statement of Changes in Beneficial Ownership (4)
01 Octubre 2019 - 3:16PM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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Great Hill Equity Partners V, L.P. |
2. Issuer Name and Ticker or Trading Symbol
YogaWorks, Inc.
[
YOGA
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
200 CLARENDON ST., 29TH FLOOR |
3. Date of Earliest Transaction
(MM/DD/YYYY)
9/26/2019
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(Street)
BOSTON, MA 02116
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
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X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code (Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)
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8. Price of Derivative Security (Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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CONVERTIBLE PROMISSORY NOTES
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$0.60
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9/26/2019
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A
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$4983360
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9/26/2019
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6/30/2020
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COMMON STOCK
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8305600
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$4983360
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$4983360
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D (1)(2)
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CONVERTIBLE PROMISSORY NOTES
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$0.60
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9/26/2019
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A
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$16640
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9/26/2019
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6/30/2020
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COMMON STOCK
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27734
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$16640
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$16640
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D (2)(3)
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Explanation of Responses:
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(1)
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These securities are held of record by Great Hill Equity Partners V, L.P. Great Hill Partners GP V, L.P. is the sole general partner of Great Hill Equity Partners V, L.P. and GHP V, LLC is the sole general partner of Great Hill Partners GP V, L.P. GHP V, LLC is controlled by Christopher S. Gaffney, John G. Hayes, Michael A. Kumin, Mark D. Taber and Matthew T. Vettel and, as such, they may be deemed to indirectly beneficially own the shares beneficially owned by Great Hill Equity Partners V, L.P. Each of Messrs. Gaffney, Hayes, Kumin, Taber and Vettel disclaim beneficial ownership of these securities except to the extent of his pecuniary interest therein.
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(2)
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This report is filed jointly by Great Hill Investors, LLC, Great Hill Equity Partners V, L.P., GHP V, LLC, Great Hill Partners GP V, L.P., Christopher S. Gaffney, John G. Hayes, Michael A. Kumin, Mark D. Taber and Matthew T. Vettel.
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(3)
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These securities are held of record by Great Hill Investors, LLC. Great Hill Investors, LLC is controlled by Christopher S. Gaffney, John G. Hayes, Michael A. Kumin, Mark D. Taber and Matthew T. Vettel and, as such, they may be deemed to indirectly beneficially own the shares beneficially owned by Great Hill Investors, LLC. Each of Messrs. Gaffney, Hayes, Kumin, Taber and Vettel disclaim beneficial ownership of these securities except to the extent of his pecuniary interest therein.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Great Hill Equity Partners V, L.P. 200 CLARENDON ST., 29TH FLOOR BOSTON, MA 02116
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X
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GREAT HILL INVESTORS LLC 200 CLARENDON ST., 29TH FLOOR BOSTON, MA 02116
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X
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GHP V, LLC 200 CLARENDON ST., 29TH FLOOR BOSTON, MA 02116
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X
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Great Hill Partners GP V, L.P. 200 CLARENDON ST., 29TH FLOOR BOSTON, MA 02116
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X
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GAFFNEY CHRISTOPHER S 200 CLARENDON ST., 29TH FLOOR BOSTON, MA 02116
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X
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HAYES JOHN G 200 CLARENDON ST., 29TH FLOOR BOSTON, MA 02116
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X
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Kumin Michael Andrew 200 CLARENDON ST., 29TH FLOOR BOSTON, MA 02116
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X
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X
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Taber Mark D. 200 CLARENDON ST., 29TH FLOOR BOSTON, MA 02116
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X
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Vettel Matthew T 200 CLARENDON ST., 29TH FLOOR BOSTON, MA 02116
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X
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Signatures
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/s/ John S. Dwyer, as attorney-in-fact for Great Hill Equity Partners V, L.P.
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10/1/2019
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**Signature of Reporting Person
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Date
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/s/ John S. Dwyer, as attorney-in-fact for Great Hill Investors, LLC
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10/1/2019
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**Signature of Reporting Person
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Date
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/s/ John S. Dwyer, as attorney-in-fact for GHP V, LLC
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10/1/2019
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**Signature of Reporting Person
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Date
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/s/ John S. Dwyer, as attorney-in-fact for Great Hill Partners GP V, L.P.
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10/1/2019
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**Signature of Reporting Person
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Date
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/s/ John S. Dwyer, as attorney-in-fact for Christopher S. Gaffney
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10/1/2019
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**Signature of Reporting Person
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Date
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/s/ John S. Dwyer, as attorney-in-fact for John G. Hayes
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10/1/2019
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**Signature of Reporting Person
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Date
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/s/ John S. Dwyer, as attorney-in-fact for Michael A. Kumin
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10/1/2019
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**Signature of Reporting Person
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Date
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/s/ John S. Dwyer, as attorney-in-fact for Mark D. Taber
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10/1/2019
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**Signature of Reporting Person
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Date
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/s/ John S. Dwyer, as attorney-in-fact for Matthew T. Vettel
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10/1/2019
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**Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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