Hillsven LLC - 09 Nov 2021 Form 3 Insider Report for Expensify, Inc. (EXFY)

Role
10%+ Owner
Signature
/s/ James G.B. DeMartini, III, Managing Member of Hillsven LLC
Issuer symbol
EXFY
Transactions as of
09 Nov 2021
Net transactions value
$0
Form type
3
Filing time
09 Nov 2021, 17:45:12 UTC
Next filing
16 Nov 2021

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 EXFY Series A Convertible Preferred Stock 09 Nov 2021 Class A Common Stock 6,659,530 Direct F1, F2
holding EXFY Series B Convertible Preferred Stock 09 Nov 2021 Class A Common Stock 3,270,280 Direct F1, F2
holding EXFY Series B-1 Convertible Preferred Stock 09 Nov 2021 Class A Common Stock 487,100 Direct F1, F2
holding EXFY Series C Convertible Preferred Stock 09 Nov 2021 Class A Common Stock 731,410 Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each share of Convertible Preferred Stock was initially convertible on a one-for-one basis into the Issuer's Class A Common Stock at any time at the holder's election and has no expiration date. The number of underlying shares of common stock reported in Column 3 gives effect to a 10-for-1 forward stock split effective as of October 27, 2021, pursuant to which each share of Convertible Preferred Stock became convertible into 10 shares of Class A Common Stock. The Convertible Preferred Stock will convert automatically upon closing of the Issuer's initial public offering.
F2 FBHR Associates, LLC is the manager of Hillsven, LLC and in such capacity may be deemed to share voting and investment power over such securities. James G.B. DeMartini, III, as trustee of Unameit Trust, is the manager of FBHR Associates, LLC, and in such capacity may be deemed to share voting and investment power over such securities.