SEC FORM 3/A SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Dua Umang

(Last) (First) (Middle)
C/O ANGI INC.
3601 WALNUT STREET, SUITE 700

(Street)
DENVER CO 80205

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/23/2021
3. Issuer Name and Ticker or Trading Symbol
Angi Inc. [ ANGI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CRO - Services
5. If Amendment, Date of Original Filed (Month/Day/Year)
11/19/2021
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock, par value $0.001 295,427(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units(2) 02/24/2023 02/24/2023 Class A Common Stock, par value $0.001 209,643 0.0 D
Restricted Stock Units(3) 03/31/2022 03/31/2023 Class A Common Stock, par value $0.001 738,550 0.0 D
Explanation of Responses:
1. Includes: (i) 186,801 shares of ANGI Class A Common Stock held directly by the reporting person and (ii) 108,626 shares of ANGI Class A Common Stock currently being held in escrow and which are subject to reduction in connection with certain purchase price adjustment and indemnification obligations.
2. Represents unvested restricted stock units that vest in one installment on February 24, 2023, subject to continued service.
3. Represents unvested restricted stock units that vest in two equal annual installments commencing on March 31, 2022 and ending on March 31, 2023, subject to continued service.
Remarks:
Section 16(a) of the Exchange Act requires the Company's directors, certain of the Company's officers and persons who beneficially own more than 10% of a registered class of the Company's equity securities to file initial statements of beneficial ownership (Form 3) and statements of changes in beneficial ownership (Forms 4 and 5) of Angi Class A common stock and other equity securities of the Company with the SEC. Directors, officers and greater than 10% beneficial owners are required by SEC rules to furnish the Company with copies of all such forms they file. Based solely on a review of the copies of such forms furnished to the Company (and/or available on the SEC's website) and/or written representations that no additional forms were required, the Company believes that its directors, officers and greater than 10% beneficial owners complied with these filing requirements in 2021, except that due to administrative error on the part of the Company, missed filings to report the withholding of shares to cover taxes due on the release from escrow of shares to Mr. Dua and the settlement for cash in lieu of fractional shares. The Company also determined that, due to an administrative error on the part of the Company, there were missed filings in 2020 to report (i) the withholding of shares to cover taxes due on the release from escrow of shares to Mr. Dua and the settlement for cash in lieu of fractional shares and (ii) a release to ANGI of certain shares previously held in escrow for the contingent benefit of Mr. Dua. Exhibit 24 - Power of Attorney
Shannon M. Shaw as Attorney-in-Fact for Umang Dua 01/12/2022
** Signature of Reporting Person Date
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 5 (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.