# EDGAR Filing Document

**Accession Number:** 0001609151
**File Stem:** 0001209191-23-017567
**Filing Date:** 2023-3
**Character Count:** 11345
**Document Hash:** 7b4cc896e87a03654bb22192c5034145
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001209191-23-017567.hdr.sgml**: 20230309

**ACCESSION NUMBER**: 0001209191-23-017567

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 2

**CONFORMED PERIOD OF REPORT**: 20220526

**FILED AS OF DATE**: 20230309

**DATE AS OF CHANGE**: 20230309

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Modersitzki Blake G
- **CENTRAL INDEX KEY:** 0001366065

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-40998
- **FILM NUMBER:** 23720434

**MAIL ADDRESS:**
- **STREET 1:** 2755 EAST COTTONWOOD PARKWAY
- **STREET 2:** SUITE 520
- **CITY:** SALT LAKE CITY
- **STATE:** UT
- **ZIP:** 84121
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Weave Communications, Inc.
- **CENTRAL INDEX KEY:** 0001609151
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-PREPACKAGED SOFTWARE [7372]
- **IRS NUMBER:** 263302902
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 1331 W POWELL WAY
- **CITY:** LEHI
- **STATE:** UT
- **ZIP:** 84043
- **BUSINESS PHONE:** 888-579-5668

**MAIL ADDRESS:**
- **STREET 1:** 1331 W POWELL WAY
- **CITY:** LEHI
- **STATE:** UT
- **ZIP:** 84043

## Ex-24

```

POWER OF ATTORNEY
       The undersigned as a Section 16 reporting person of Weave Communications,
Inc. (the "Company"), hereby constitutes and appoints Brett White and Erin
Goodsell, and each of them, the undersigned's true and lawful attorney-in-fact
to:
(1) execute, deliver and file for and on behalf of the undersigned, in the
undersigned's capacity as an officer and/or director of  the Company, Forms 3,
4, and 5 in accordance with Section 16(a) of the Exchange Act;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5,
complete and execute any amendment or amendments thereto, and timely file such
form with the SEC and any stock exchange or similar authority;
(3) seek or obtain, as the undersigned's representative and on the undersigned's
behalf, information on transactions in the Company's securities from any third
party, including brokers, employee benefit plan administrators and trustees, and
the undersigned hereby authorizes any such person to release any such
information to the undersigned and approves and ratifies any such release of
information; and
(4) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
       The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this power of attorney and the
rights and powers herein granted.  The undersigned acknowledges that the
foregoing attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 16 of the Exchange Act.
The undersigned further acknowledges and agrees that the attorney-in-fact and
the Company are relying on written and oral information provided by the
undersigned to complete such forms and the undersigned is responsible for
reviewing the completed forms prior to their filing.  The attorney-in-fact and
the Company are not responsible for any errors or omissions in such filings.
The attorney-in-fact and the Company are not responsible for determining whether
or not the transactions reported could be matched with any other transactions
for the purpose of determining liability for short-swing profits under Section
16(b).
       This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
Company and the foregoing attorneys-in-fact.
       IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of 2/27/2023.
/s/ Blake G. Modersitzki
Name:  Blake G Modersitzki

```

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

## FORM 4

### 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>Modersitzki Blake G<br><sub>(Last) (First) (Middle)</sub><br>2750 E. COTTONWOOD PARK<br>SUITE 600<br><sub>(Street)</sub><br>SALT LAKE CITY, UT 84121<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2022-05-26 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[X] Director [ ] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>Weave Communications, Inc. [ WEAV ] | **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 |
| Common Stock | 2022-05-26 |  | A |  | 30358<sup>(1)</sup> | A | $0.00 | 67358 | D |  |
| Common Stock |  |  |  |  |  |  |  | 4535789 | I | By Pelion Ventures VI, L.P.<sup>(2)</sup> |
| Common Stock |  |  |  |  |  |  |  | 310138 | I | By Pelion Ventures VI-A, L.P.<sup>(2)</sup> |
| Common Stock |  |  |  |  |  |  |  | 530529 | I | By Pelion Ventures VII, L.P.<sup>(3)</sup> |
| Common Stock |  |  |  |  |  |  |  | 109323 | I | By Pelion Ventures VII-A, L.P.<sup>(3)</sup> |
| Common Stock |  |  |  |  |  |  |  | 59592 | I | By Pelion Ventures VII-Entrepreneurs Fund, L.P.<sup>(3)</sup> |

---

## 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 |
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

---

### Footnotes:

(1) Represents 30,358 restricted stock units (the "RSUs") granted to the Reporting Person as a director of the Issuer. Each restricted stock unit represents the right to receive one share of the Issuer's Common Stock upon vesting. The RSUswill vest in full on the earlier of (i) May 26, 2023 and (ii) the date of the first annual meeting of the Issuer's stockholders following May 26, 2022. Such grant is exempt from Section 16(b) of the Securities Exchange Act of 1934, as amended, in reliance on Rule 16b-3(d).

(2) Pelion Venture Partners VI, L.L.C. ("PVP VI") is the sole general partner of Pelion Ventures VI, L.P. ("PV VI") and Pelion Ventures VI-A, L.P. ("PV VI-A"). The Reporting Person is the managing director of PVP VI and PV VI-A and may be deemed to exercise voting and dispositive power over the shares held by PV VI and PV VI-A. The Reporting Person disclaims beneficial ownership of the shares held by PV VI and PV VI-A except to the extent of his pecuniary interest therein.

(3) Pelion Venture Partners VII, L.L.C. ("PVP VII") is the sole general partner of Pelion Ventures VII, L.P. ("PV VII"), Pelion Ventures VII-A, L.P. ("PV VII-A") and Pelion Ventures VII-Entrepreneurs Fund, L.P. ("PV VII-Entrepreneurs") . The Reporting Person is a managing director of PVP VII, PV VII-A and PV VII-Entrepreneurs and may be deemed to share voting and dispositive power over the shares held by PVP VII, PV VII-A and PV VII-Entrepreneurs. The Reporting Person disclaims beneficial ownership of the shares held by PVP VII, PV VII-A and PV VII-Entrepreneurs except to the extent of his pecuniary interest therein.

**Signature:** /s/ Erin Goodsell, as Attorney-in-Fact  
**Date:** 2023-03-08

### 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.**