# EDGAR Filing Document

**Accession Number:** 0001617553
**File Stem:** 0001209191-23-009428
**Filing Date:** 2023-2
**Character Count:** 12637
**Document Hash:** 074764d76d4d68c64371f17517cb0b77
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001209191-23-009428.hdr.sgml**: 20230214

**ACCESSION NUMBER**: 0001209191-23-009428

**CONFORMED SUBMISSION TYPE**: 5

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20221231

**FILED AS OF DATE**: 20230214

**DATE AS OF CHANGE**: 20230214

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** SAIFEE QASIM
- **CENTRAL INDEX KEY:** 0001859379

**FILING VALUES:**
- **FORM TYPE:** 5
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40406
- **FILM NUMBER:** 23632758

**MAIL ADDRESS:**
- **STREET 1:** 604 ARIZONA AVE
- **CITY:** SANTA MONICA
- **STATE:** CA
- **ZIP:** 90401
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** ZIPRECRUITER, INC.
- **CENTRAL INDEX KEY:** 0001617553
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
- **IRS NUMBER:** 272976158
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 604 ARIZONA AVENUE
- **CITY:** SANTA MONICA
- **STATE:** CA
- **ZIP:** 90401
- **BUSINESS PHONE:** 877-252-1062

**MAIL ADDRESS:**
- **STREET 1:** 604 ARIZONA AVENUE
- **CITY:** SANTA MONICA
- **STATE:** CA
- **ZIP:** 90401

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 5

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>SAIFEE QASIM<br><sub>(Last) (First) (Middle)</sub><br>604 ARIZONA AVE<br><sub>(Street)</sub><br>SANTA MONICA, CA 90401<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2022-12-31 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [ ] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_Chief Operating Officer_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>ZIPRECRUITER, INC. [ ZIP ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Class A Common Stock | 2022-03-15 |  | M | V | 11000 | A | $0.00 | 397473<sup>(1)</sup> | D |  |
| Class A Common Stock | 2022-03-15 |  | F<sup>(2)</sup> | V | 4504 | D | $18.92 | 397473<sup>(1)</sup> | D |  |
| Class A Common Stock | 2021-12-15 |  | M | V | 6250 | A | $0.00 | 397473<sup>(1)</sup> | D |  |
| Class A Common Stock | 2021-12-15 |  | C | V | 29594 | A | $0.00 | 397473<sup>(1)</sup> | D |  |
| Class A Common Stock | 2021-12-15 |  | F<sup>(2)</sup> | V | 17773 | D | $24.64 | 397473<sup>(1)</sup> | D |  |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Restricted Stock Units | 0.00<sup>(3)</sup> | 2022-02-18 |  | A | V | 11000 |  | <sup>(4)</sup> | <sup>(5)</sup> | Class A Common Stock | 11000 | $0.00 | 0 | D |  |
| Restricted Stock Units | 0.00<sup>(3)</sup> | 2022-03-15 |  | M | V |  | 11000 | <sup>(4)</sup> | <sup>(5)</sup> | Class A Common Stock | 11000 | $0.00 | 0 | D |  |
| Restricted Stock Units | 0.00<sup>(3)</sup> | 2021-10-04 |  | A | V | 100000 |  | <sup>(6)</sup> | <sup>(5)</sup> | Class A Common Stock | 100000 | $0.00 | 68750 | D |  |
| Restricted Stock Units | 0.00<sup>(3)</sup> | 2021-12-15 |  | M | V |  | 6250 | <sup>(6)</sup> | <sup>(5)</sup> | Class A Common Stock | 6250 | $0.00 | 68750 | D |  |
| Restricted Stock Units | 0.00<sup>(7)</sup> | 2021-12-15 |  | M | V |  | 7094 | <sup>(8)</sup> | <sup>(5)</sup> | Class B Common Stock | 7094 | $0.00 | 28375 | D |  |
| Restricted Stock Units | 0.00<sup>(7)</sup> | 2021-12-15 |  | M | V |  | 7813 | <sup>(9)</sup> | <sup>(5)</sup> | Class B Common Stock | 7813 | $0.00 | 0 | D |  |
| Restricted Stock Units | 0.00<sup>(7)</sup> | 2021-12-15 |  | M | V |  | 5000 | <sup>(10)</sup> | <sup>(5)</sup> | Class B Common Stock | 5000 | $0.00 | 5000 | D |  |
| Restricted Stock Units | 0.00<sup>(7)</sup> | 2021-12-15 |  | M | V |  | 9687 | <sup>(11)</sup> | <sup>(5)</sup> | Class B Common Stock | 9687 | $0.00 | 77500 | D |  |
| Class B Common Stock | 0.00<sup>(12)</sup> | 2021-12-15 |  | C | V | 29594 |  | <sup>(12)</sup> | <sup>(12)</sup> | Class A Common Stock | 29594 | $0.00 | 0 | D |  |
| Class B Common Stock | 0.00<sup>(12)</sup> | 2021-12-15 |  | C | V |  | 29594 | <sup>(12)</sup> | <sup>(12)</sup> | Class A Common | 29594 | $0.00 | 0 | D |  |

---

### Footnotes:

(1) Includes 1,925 shares of Class A common stock acquired by the Reporting Person on February 14, 2022 pursuant to the Issuer's employee stock purchase plan.

(2) Exempt transaction pursuant to Section 16b-3(e) - payment of exercise price or tax liability by delivering or withholding securities incident to the receipt, exercise or vesting of a security issued in accordance with Rule 16b-3. All of the shares reported as disposed of in this Form 4 were relinquished by the Reporting Person and cancelled by the Issuer in exchange for the Issuer's agreement to pay federal and state tax withholding obligations of the Reporting Person resulting from the vesting of restricted stock units ("RSUs"). The Reporting Person did not sell or otherwise dispose of any of the shares reported in this form for any reason other than to cover required taxes.

(3) Each RSU represents a right to receive one share of the Issuer's Class A Common Stock at the time of settlement for no consideration.

(4) The RSUs were fully vested on February 18, 2022. Shares of Class A Common Stock ware issued to the Reporting Person upon settlement of the RSUs on March 15, 2022.

(5) RSUs do not expire; they either vest or are canceled prior to the vesting date.

(6) The RSUs vest as to 1/16 of the total shares quarterly beginning on December 15, 2021 until fully vested, subject to the Reporting Person's continued service to the Issuer on each vesting date.

(7) Each RSU represents a right to receive one share of the Issuer's Class B Common Stock at the time of settlement for no consideration.

(8) Commencing on January 1, 2021, the RSUs shall vest upon satisfaction of two conditions while the recipient remains an employee or provider of services to the Issuer: (a) a time and service requirement satisfied as to 1/16 of the RSUs on each quarterly vesting date following the vesting commencement date; and (b) a liquidity event requirement satisfied on the earliest to occur of the first trading day following the expiration of the lockup period applicable to an IPO of the Issuer's equity securities pursuant to an effective registration statement, March 15 of the calendar year following the year in which an IPO occurs, or a change in control. The Issuer's Board of Directors has waived the liquidity event requirement condition effective as of the first day of trading of the Issuer's Class A Common Stock on the New York Stock Exchange.

(9) Commencing on January 1, 2020, the RSUs shall vest upon satisfaction of two conditions while the recipient remains an employee or provider of services to the Issuer: (A) a time and service requirement satisfied as to 1/16 of the RSUs on each quarterly vesting date following the vesting commencement date; and (B) a liquidity event requirement satisfied on the earliest to occur of the first trading day following the expiration of the lockup period applicable to an IPO of the Issuer's equity securities pursuant to an effective registration statement, March 15 of the calendar year following the year in which an IPO occurs, or a change in control. The Issuer's Board of Directors has waived the liquidity event requirement condition effective as of the first day of trading of the Issuer's Class A Common Stock on the New York Stock Exchange.

(10) Commencing on May 7, 2020, the RSUs shall vest upon satisfaction of two conditions while the recipient remains an employee or provider of services to the Issuer: (a) a time and service requirement satisfied as to 1/16 of the RSUs on each quarterly vesting date following the vesting commencement date; and (b) a liquidity event requirement satisfied on the earliest to occur of the first trading day following the expiration of the lockup period applicable to an IPO of the Issuer's equity securities pursuant to an effective registration statement, March 15 of the calendar year following the year in which an IPO occurs, or a change in control. The Issuer's Board of Directors has waived the liquidity event requirement condition effective as of the first day of trading of the Issuer's Class A Common Stock on the New York Stock Exchange.

(11) Commencing on March 24, 2021, the RSUs shall vest upon satisfaction of two conditions while the recipient remains an employee or provider of services to the Issuer: (a) a time and service requirement satisfied as to 1/16 of the RSUs on each quarterly vesting date following the vesting commencement date; and (b) a liquidity event requirement satisfied on the earliest to occur of the first trading day following the expiration of the lockup period applicable to an IPO of the Issuer's equity securities pursuant to an effective registration statement, March 15 of the calendar year following the year in which an IPO occurs, or a change in control.  The Issuer's Board of Directors has waived the liquidity event requirement condition effective as of the first day of trading of the Issuer's Class A Common Stock on the New York Stock Exchange.

(12) Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

**Signature:** /s/ Ryan Sakamoto, as Attorney-in-Fact  
**Date:** 2023-02-14

### Remarks:

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

**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 Number.**