Statement of Changes in Beneficial Ownership (4)
October 02 2019 - 7:15PM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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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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IAC/INTERACTIVECORP |
2. Issuer Name and Ticker or Trading Symbol
ANGI Homeservices Inc.
[
ANGI
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
555 WEST 18TH STREET |
3. Date of Earliest Transaction
(MM/DD/YYYY)
9/30/2019
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(Street)
NEW YORK, NY 10011
(City)
(State)
(Zip)
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4. 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 Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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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. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code (Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)
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8. Price of Derivative Security (Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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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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Class B Common Stock, par value $0.001(1)
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$0
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9/30/2019
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J (2)
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109071
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(1)
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(1)
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Class A Common Stock, par value $0.001
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109071
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$7.82
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421561974
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D
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Class B Common Stock, par value $0.001(1)
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$0
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9/30/2019
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J (2)
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296
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(1)
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(1)
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Class A Common Stock, par value $0.001
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296
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$13.96
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421562270
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D
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Class B Common Stock, par value $0.001(1)
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$0
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9/30/2019
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J (2)
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7371
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(1)
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(1)
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Class A Common Stock, par value $0.001
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7371
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$16.94
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421569641
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D
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Explanation of Responses:
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(1)
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Represents shares of Class B common stock of ANGI Homeservices Inc. ("ANGI") that are convertible at the option of the holder on a one-for-one basis into shares of ANGI Class A common stock at any time and do not have an expiration date. Each share of ANGI Class B common stock is entitled to ten votes per share and each share of ANGI Class A common stock is entitled to one vote per share.
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(2)
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Represents shares of Class B common stock issued to/acquired by IAC/InterActiveCorp ("IAC") as reimbursement for shares of IAC common stock issued in connection with the settlement of ANGI subsidiary denominated equity awards held by ANGI employees pursuant to the Employee Matters Agreement, dated September 29, 2017, between IAC and ANGI.
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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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IAC/INTERACTIVECORP 555 WEST 18TH STREET NEW YORK, NY 10011
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X
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Signatures
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Tanya M. Stanich, Assistant Secretary
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10/2/2019
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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 4(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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