SEC FORM
3
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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| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Estimated average burden |
| hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
| C/O ANGI INC. |
| 3601 WALNUT STREET |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
03/25/2021
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3. Issuer Name and Ticker or Trading Symbol
Angi Inc.
[ ANGI ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
| X |
Officer (give title below) |
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Other (specify below) |
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Chief Technology Officer
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
|
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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Class A Common Stock, par value $0.001
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16,029 |
D |
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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 Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
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: 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 |
Expiration Date |
Title |
Amount or Number of Shares |
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Restricted Stock Units
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04/19/2019 |
10/19/2021 |
Class A Common Stock, par value $0.001 |
20,715 |
0.0 |
D |
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Restricted Stock Units
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04/19/2022 |
10/19/2024 |
Class A Common Stock, par value $0.001 |
76,238 |
0.0 |
D |
|
|
Restricted Stock Units
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10/19/2019 |
10/14/2022 |
Class A Common Stock, par value $0.001 |
8,062 |
0.0 |
D |
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| Explanation of Responses: |
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| Remarks: |
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Shannon M. Shaw as Attorney-in-Fact for Kulesh Shanmugasundaram |
03/31/2021 |
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** 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. |
POWER OF ATTORNEY
The undersigned hereby constitutes and appoints each of Shannon M. Shaw and Christopher W. Bohnert,
signing singly, as the undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity as a director of
ANGI Homeservices Inc. (the "Company"), Forms 3, 4 and 5 in accordance with Section 16(a) of the
Securities Exchange Act of 1934, as amended, and the rules thereunder (the "Exchange Act"), and
Form ID to obtain and/or renew EDGAR codes, passwords and/or passphrases for use in connection
with the filing of Forms 3, 4 and 5;
(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 or Form ID, complete and
execute any amendment or amendments thereto, and timely file such forms with the United States
Securities and Exchange Commission and any stock exchange or similar authority;
(3) 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; and
(4) seek or obtain, as the undersigned's attorney-in-fact and on the undersigned's behalf,
information regarding 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 such attorney-in-fact and approves
and ratifies any such release of information.
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
connection with 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.
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 foregoing attorneys-in-fact.
This Power of Attorney does not relieve the undersigned from responsibility for compliance with
the undersigned's obligations under the Exchange Act, including, without limitation, the reporting
requirements under Section 16 of the Exchange Act. Additionally, although pursuant to this Power
of Attorney the Company will use commercially reasonable best efforts to timely and accurately
file Section 16 reports on behalf of the undersigned, the Company does not represent or warrant
that it will be able to in all cases timely and accurately file Section 16 reports on behalf of
the undersigned due to various factors, including, but not limited to, the shorter deadlines
mandated by the Sarbanes-Oxley Act of 2002, possible time zone differences between the Company
and the undersigned and the Company's need to rely on other parties for information, including
the undersigned and brokers of the undersigned.
IN WITNESS WHEREOF, the undersigned had caused this Power of Attorney to be executed as of this
29th day of March 2021.
/s/ KULESH SHANMUGASUNDARAM
Name: Kulesh Shanmugasundaram
