Roelof Botha - 28 Jan 2026 Form 3 Insider Report for Ethos Technologies Inc. (LIFE)

Role
Director, 10%+ Owner
Signature
/s/ Jung Yeon Son, Attorney-in-fact for Roelof Botha
Issuer symbol
LIFE
Transactions as of
28 Jan 2026
Net transactions value
$0
Form type
3
Filing time
28 Jan 2026, 19:58:19 UTC
Previous filing
06 Jan 2026
Next filing
02 Feb 2026
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
BOTHA ROELOF Director, 10%+ Owner 2800 SAND HILL ROAD, SUITE 101, MENLO PARK /s/ Jung Yeon Son, Attorney-in-fact for Roelof Botha 28 Jan 2026 0001222287

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding LIFE Series A-2 Preferred Stock 28 Jan 2026 Class A Common Stock 63,370 Nalrena, L.L.C F1, F2, F4
holding LIFE Series A-2 Preferred Stock 28 Jan 2026 Class A Common Stock 79,246 Spelunker Channel Holdings, LLC F1, F2, F4
holding LIFE Series A-2 Preferred Stock 28 Jan 2026 Class A Common Stock 1,897,656 Sequoia Capital U.S. Venture Fund XV, L.P. F1, F2, F3
holding LIFE Series A-2 Preferred Stock 28 Jan 2026 Class A Common Stock 79,975 Sequoia Capital U.S. Venture Partners Fund XV (Q), L.P. F1, F2, F3
holding LIFE Series A-2 Preferred Stock 28 Jan 2026 Class A Common Stock 28,725 Sequoia Capital U.S. Venture Partners Fund XV, L.P. F1, F2, F3
holding LIFE Series A-2 Preferred Stock 28 Jan 2026 Class A Common Stock 291,875 Sequoia Capital U.S. Venture XV Principals Fund, L.P. F1, F2, F3
holding LIFE Series A Preferred Stock 28 Jan 2026 Class A Common Stock 4,767,653 Sequoia Capital U.S. Venture Fund XV, L.P. F1, F2, F3
holding LIFE Series A Preferred Stock 28 Jan 2026 Class A Common Stock 200,936 Sequoia Capital U.S. Venture Partners Fund XV (Q), L.P. F1, F2, F3
holding LIFE Series A Preferred Stock 28 Jan 2026 Class A Common Stock 72,174 Sequoia Capital U.S. Venture Partners Fund XV, L.P. F1, F2, F3
holding LIFE Series A Preferred Stock 28 Jan 2026 Class A Common Stock 733,307 Sequoia Capital U.S. Venture XV Principals Fund, L.P. F1, F2, F3
holding LIFE Series B Preferred Stock 28 Jan 2026 Class A Common Stock 1,124,709 Sequoia Capital U.S. Venture Fund XV, L.P. F1, F2, F3
holding LIFE Series B Preferred Stock 28 Jan 2026 Class A Common Stock 47,400 Sequoia Capital U.S. Venture Partners Fund XV (Q), L.P. F1, F2, F3
holding LIFE Series B Preferred Stock 28 Jan 2026 Class A Common Stock 17,025 Sequoia Capital U.S. Venture Partners Fund XV, L.P. F1, F2, F3
holding LIFE Series B Preferred Stock 28 Jan 2026 Class A Common Stock 172,989 Sequoia Capital U.S. Venture XV Principals Fund, L.P. F1, F2, F3
holding LIFE Series C Preferred Stock 28 Jan 2026 Class A Common Stock 180,988 Sequoia Capital U.S. Venture Fund XV, L.P. F1, F2, F3
holding LIFE Series C Preferred Stock 28 Jan 2026 Class A Common Stock 7,627 Sequoia Capital U.S. Venture Partners Fund XV (Q), L.P. F1, F2, F3
holding LIFE Series C Preferred Stock 28 Jan 2026 Class A Common Stock 2,739 Sequoia Capital U.S. Venture Partners Fund XV, L.P. F1, F2, F3
holding LIFE Series C Preferred Stock 28 Jan 2026 Class A Common Stock 27,837 Sequoia Capital U.S. Venture XV Principals Fund, L.P. F1, F2, F3
holding LIFE Series C Preferred Stock 28 Jan 2026 Class A Common Stock 1,917,944 Sequoia Capital U.S. Growth Fund VIII, L.P. F1, F2, F3
holding LIFE Series D Preferred Stock 28 Jan 2026 Class A Common Stock 56,275 Sequoia Capital U.S. Venture Fund XV, L.P. F1, F2, F3
holding LIFE Series D Preferred Stock 28 Jan 2026 Class A Common Stock 2,058 Sequoia Capital U.S. Venture Partners Fund XV (Q), L.P. F1, F2, F3
holding LIFE Series D Preferred Stock 28 Jan 2026 Class A Common Stock 878 Sequoia Capital U.S. Venture Partners Fund XV, L.P. F1, F2, F3
holding LIFE Series D Preferred Stock 28 Jan 2026 Class A Common Stock 12,274 Sequoia Capital U.S. Venture XV Principals Fund, L.P. F1, F2, F3
holding LIFE Series D Preferred Stock 28 Jan 2026 Class A Common Stock 214,464 Sequoia Capital U.S. Growth Fund VIII, L.P. F1, F2, F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The Series A-2, Series A, Series B, Series C, and Series D Preferred Stock are each convertible into Class A Common Stock on a ratio dependent on the public offering price of the Class A Common Stock in the Issuer's initial public offering (IPO). Upon the closing of the Issuer's IPO, all shares of Series A-2, Series A, Series B, Series C, and Series D Preferred Stock will be automatically converted into shares of Class A Common Stock of the Issuer (the "Class A Conversion"). Immediately following the Class A Conversion, each share of the Class A Common Stock shall be exchanged at a 1:1 ratio for shares of Class B Common Stock. Each share of Class B Common Stock is convertible at the option of the holder thereof into one share of Class A Common Stock and otherwise in accordance with the terms of the Issuer's Certificate of Incorporation.
F2 Each share of the Series A-2, Series A, Series B, Series C, and Series D Preferred Stock has no expiration date.
F3 The Reporting Person is a director and stockholder of SC US (TTGP), Ltd. SC US (TTGP), Ltd. is (i) the general partner of SC U.S. Growth VIII Management, L.P., which is the general partner of Sequoia Capital U.S. Growth Fund VIII, L.P. (GFVIII), and (ii) the general partner of SC U.S. Venture XV Management, L.P., which is the general partner of Sequoia Capital U.S. Venture Fund XV, L.P., Sequoia Capital U.S. Venture Partners Fund XV (Q), L.P., Sequoia Capital U.S. Venture Partners Fund XV, L.P., and Sequoia Capital U.S. Venture XV Principals Fund, L.P. (collectively, the XV Funds). The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed to be an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
F4 The Reporting Person is a director and stockholder of SC US SSF 2013 (TTGP), L.L.C. SC US SSF 2013 (TTGP), L.L.C. is the general partner of SC U.S. Scout Seed Fund 2013 Management, L.P., which is the general partner of Sequoia Capital U.S. Scout Seed Fund 2013, L.P., which wholly owns Sequoia Capital U.S. Scout Fund IV, L.L.C., which in turn wholly owns Nalrena, L.L.C. and Spelunker Channel Holdings, LLC (collectively, the Scout Funds). The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed to be an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.