Form Type: 4

SEC EDGAR Link
Accession Number:0001209191-22-024080
Date:2022-04-08
Issuer: HIPPO HOLDINGS INC. (HIPO)
Original Submission Date:

Reporting Person:

FIFTH WALL VENTURES MANAGEMENT GP, LLC
6060 CENTER DRIVE, 10TH FLOOR
LOS ANGELES, CA 90045

Reporting Person:

FIFTH WALL VENTURES MANAGEMENT, L.P.
6060 CENTER DRIVE, 10TH FLOOR
LOS ANGELES, CA 90045

Reporting Person:

FIFTH WALL VENTURES GP, LLC
6060 CENTER DRIVE, 10TH FLOOR
LOS ANGELES, CA 90045

Reporting Person:

FIFTH WALL VENTURES, L.P.
6060 CENTER DRIVE, 10TH FLOOR
LOS ANGELES, CA 90045

Reporting Person:

FIFTH WALL VENTURES SPV IV, L.P.
6060 CENTER DRIVE, 10TH FLOOR
LOS ANGELES, CA 90045

Reporting Person:

FIFTH WALL VENTURES SPV XVII, L.P.
6060 CENTER DRIVE, 10TH FLOOR
LOS ANGELES, CA 90045

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2022-04-08 J 25,472,672 d $0.00 25,974,574 indirect
COMMON STOCK 2022-04-08 J 3,345,998 a $0.00 25,608,670 indirect
COMMON STOCK 2022-04-08 J 229,301 d $0.00 229,302 indirect
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
Footnotes
IDfootnote
f1 on april 8, 2022, fifth wall ventures spv iv, l.p. distributed, for no consideration, 3,345,998 shares of common stock to fifth wall ventures, l.p. and 22,126,674 shares of common stock to len fw investor, llc.
f2 fifth wall ventures gp, llc is the general partner of fifth wall ventures spv xvii, l.p., fifth wall ventures spv iv, l.p. and fifth wall ventures, l.p., each a delaware limited partnership (the "subsidiary funds"). fifth wall ventures management, l.p. serves as the sole manager of fifth wall ventures gp, llc. fifth wall ventures management gp, llc is the general partner of fifth wall ventures management, l.p. each of fifth wall ventures gp, llc, fifth wall ventures management, l.p. and fifth wall ventures management gp, llc expressly disclaims beneficial ownership of the shares held by each subsidiary fund. each subsidiary fund expressly disclaims ownership of any shares held by any other subsidiary fund.
f3 represents securities held by fifth wall ventures spv iv, l.p. effective as of october 23, 2018, fifth wall ventures spv iv, l.p. granted len fw investor, llc an irrevocable voting proxy (the "proxy") in respect of all shares held by fifth wall ventures spv iv, l.p. the 25,974,574 shares held directly by fifth wall ventures spv iv l.p. are subject to the proxy.
f4 represents securities held by fifth wall ventures, l.p.
f5 on april 8, 2022, fifth wall ventures spv xvii, l.p. distributed, for no consideration, 229,301 shares of common stock to american investment holdings llc.
f6 represents securities held by fifth wall ventures spv xvii, l.p.
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