Initial Statement of Beneficial Ownership (3)
April 03 2014 - 7:15PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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Evans Michael
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2. Date of Event Requiring Statement (MM/DD/YYYY)
4/3/2014
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3. Issuer Name
and
Ticker or Trading Symbol
GrubHub Inc. [GRUB]
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(Last)
(First)
(Middle)
C/O GRUBHUB INC., 111 W. WASHINGTON STREET, SUITE 2100
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
Chief Operating Officer /
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(Street)
CHICAGO, IL 60602
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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1931035
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D
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Common Stock
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131504
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I
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Evans Trust U/A/D March 29, 2012
(1)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Option (right to buy)
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(2)
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7/26/2022
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Common Stock
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26724
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$5.06
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D
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Stock Option (right to buy)
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(3)
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4/23/2022
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Common Stock
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159639
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$2.00
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D
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Stock Option (right to buy)
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(4)
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11/16/2022
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Common Stock
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26724
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$6.18
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D
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Stock Option (right to buy)
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(5)
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1/28/2023
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Common Stock
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50599
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$8.40
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D
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Stock Option (right to buy)
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(6)
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3/12/2023
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Common Stock
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30130
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$8.40
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D
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Explanation of Responses:
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(
1)
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These shares were beneficially owned by the reporting person, but were contributed to the Evans Trust U/A/D March 29, 2012, with JP Morgan Trust Company of Delaware serving as Trustee. Michael Evans, as Investment Advisor of the Evans Trust, has sole voting and dispositive power over the shares held by the Evans Trust.
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(
2)
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On February 8, 2014, 25% of the total number of shares granted under the option vested. The remaining number of shares under the option will vest in equal amounts on the first calendar day of each month for three consecutive months beginning on May 1, 2016. All vesting is subject to Mr. Evans' continued status as an employee.
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(
3)
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Beginning on May 1, 2013 and ending on February 1, 2014, a total of 12,391.55 shares under the option vested, in equal monthly installments. On February 8, 2014, 25% of the portion of the option that would have remained unvested on August 8, 2014, or 34,953.05 shares under the option, became exercisable. Beginning on March 1, 2014, and continuing until January 1, 2015, 721.19 shares under the option will vest on the first day of each month. Beginning on February 1, 2015 and continuing until March 1, 2016, 6,957.87 shares under the option will vest on the first day of each month. On April 1, 2016, 6,950.76 shares under the option will vest. All vesting is subject to Mr. Evans' continued status as an employee.
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(
4)
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On February 8, 2014, 25% of the total number of shares granted under the option vested. The remaining number of shares under the option will vest in equal amounts on the first calendar day of each month for three consecutive months beginning on August 1, 2016. All vesting is subject to Mr. Evans' continued status as an employee.
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(
5)
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On February 8, 2014, 25% of the total number of shares granted under the option vested. The remaining number of shares under the option will vest if a public offering occurs and Mr. Evans has been contiuously employed with GrubHub Inc. through the date of the public offering.
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(
6)
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On February 8, 2014, 25% of the total number of shares granted under the option vested. The remaining number of shares under the option will vest in equal amounts on the first calendar day of each month for three consecutive months beginning on November 1, 2016. All vesting is subject to Mr. Evans' continued status as an employee.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Evans Michael
C/O GRUBHUB INC.
111 W. WASHINGTON STREET, SUITE 2100
CHICAGO, IL 60602
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Chief Operating Officer
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Signatures
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/s/ Margo Drucker as Attorney-in-Fact for Michael Evans
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4/2/2014
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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 control number.
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