1 | Names of Reporting Persons Douglas Hirsch | |||
2 | Check the Appropriate Box if a Member of a Group (a) [ ] (b) [ ] | |||
3 | SEC Use Only | |||
4 | Source of Funds (See Instructions) OO | |||
5 | Check if disclosure of legal proceedings is required pursuant to Items 2(d) or 2(e) [ ] | |||
6 | Citizenship or Place of Organization United States | |||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 7 | Sole Voting Power 2,632,721 | ||
8 | Shared Voting Power 2,632,721 | |||
9 | Sole Dispositive Power 2,632,721 | |||
10 | Shared Dispositive Power 2,632,721 | |||
11 | Aggregate Amount Beneficially Owned by Each Reporting Person 5,265,442 | |||
12 | Check if the Aggregate Amount in Row (11) Excludes Certain Shares [ ] | |||
13 | Percent of Class Represented by Amount in Row (11) 5.6% | |||
14 | Type of Reporting Person IN |
CUSIP No. 38246G108 | 13D/A | Page 1 of 6 pages |
CUSIP No. 38246G108 | 13D/A | Page 2 of 6 pages |
CUSIP No. 38246G108 | 13D/A | Page 3 of 6 pages |
Exhibit Number | Description |
5 | |
7 |
CUSIP No. 38246G108 | 13D/A | Page 4 of 6 pages |
By: | /s/ Douglas Hirsch | |
Name: | Douglas Hirsch |
CUSIP No. 38246G108 | 13D/A | Page 5 of 6 pages |
Name of Seller: DOUG HIRSCH | Name of Issuer: GoodRx Holdings, Inc. _______ |
(a) Date of Grant | (b) Grant ID | (c) Strike Price | (d) Option Vest Date | (e) Option Expiration Date | (f) Sale Period(s) | (g) Number of Shares to be Sold | (h) Limit Price | |
Start Date | End Date | |||||||
“No Sale” Periods (if any) | |
Start Date | End Date |
Name of Seller: DOUG HIRSCH | Name of Issuer: GoodRx Holdings, Inc. ___________ |
(a) Type (Clean (CLN), Restricted (RST), Restricted Stock Awards (RSA) or Units (RSU) or Employee Stock Purchase Plan shares (ESPP)) | (b) Grant ID / Nature of Acquisition (If applicable) | (c) Date Shares Acquired / Vest Date (If applicable) | (d) Sale Period(s) | (e) Authorized Number of Owned Shares to be Sold | (f) Limit Price (“Market” if a Market Order) | |
Start Date | End Date | |||||
Doug Hirsch Trade Schedule B | ||||||
“No Sale” Periods (if any) | |
Start Date | End Date |
N/A | N/A |
Name of Seller: DH 2024 GRAT | Name of Issuer: GoodRx Holdings, Inc._______ |
(a) Type (Clean (CLN), Control (CTRL), Restricted (RST), Restricted Stock Awards (RSA) or Units (RSU) or Employee Stock Purchase Plan shares (ESPP) ) | (b) Grant ID (If applicable) | (c) Date Shares Acquired / Vest Date (If applicable) | (d) Sale Period(s) | (e) Authorized Number of Owned Shares to be Sold | (f) Limit Price (“Market” if a Market Order) | |
Start Date | End Date | |||||
DH 2024 GRAT TRADE SCHEDULE B | ||||||
“No Sale” Periods (if any) | |
Start Date | End Date |
Douglas Hirsch, as trustee of the DH 2024 GRAT |
Operating Systems: | Windows® 2000, Windows® XP, Windows Vista®; Mac OS® X |
Browsers: | Internet Explorer® 11 (Windows only); Windows Edge Current Version; Mozilla Firefox Current Version; Safari(Mac OS only) 6.2 or above; Google Chrome Current Version |
PDF Reader: | Acrobat® or similar software may be required to view and print PDF files |
Screen Resolution: | 800 x 600 minimum |
Enabled Security Settings: | Allow per session cookies |
Document | To Be Signed By | |||
Part I | Account and Plan Information | N/A | ||
Part II | Trade Schedule A | Notice and Authorization of Exercise of Stock Options and Sale of Underlying Stock | N/A | |
Part II | Trade Schedule B | Sale of Clean Stock/Control Stock/Restricted Stock Awards or Units or ESPP Stock | N/A | |
Part III | Sales Plan Disclosures and Representations | Seller and MSSB | ||
Part IV | Exhibit A | Issuer Representation Letter | Issuer | |
Part IV | Exhibit B | Seller Representation Letter | Seller, if applicable | |
Part IV | Exhibit C | Section 16 Authorization Letter | Seller, if applicable |
To the Seller: Name: CH 2024 GRAT Address: Telephone: Fax: E-Mail: | Copies to: Name: Address: Telephone: Fax: E-Mail: |
To Issuer: Name: Gracye Cheng Corporation: GoodRx Holdings, Inc. Address: 2701 Olympic Blvd suite 200, Santa Monica CA 90403 Telephone: (855) 268-2822 Fax: E-Mail: | Copies to: Name: Corporation Address: Telephone: Fax: E-Mail: |
To: MSSB 10b5-1 Preset Diversification Program Department Primary Contact: Meghan Carrasquillo Alternate Contact: Pdpdesk Address: 1 New York Plaza, 38th Floor New York, NY 10004 Telephone: Fax: E-mail: | Copies to: MSSB Financial Advisor Primary Contact: Tyler Needman Alternate Contact: Robert Tjan Ops Manager: Address: 216 Lorton Avenue Burlingame, CA 94010 Telephone: Fax: E-mail: |
Name of Seller: CH 2024 GRAT | Name of Issuer: GoodRx Holdings, Inc._______ |
(a) Date of Grant | (b) Grant ID | (c) Strike Price | (d) Option Vest Date | (e) Option Expiration Date | (f)Sale Period(s) | (g) Number of Shares to be Sold | (h) Limit Price | |
Start Date | End Date | |||||||
“No Sale” Periods (if any) | |
Start Date | End Date |
Name of Seller: CH 2024 GRAT | Name of Issuer: GoodRx Holdings, Inc._______ |
(a) Type (Clean (CLN), Control (CTRL), Restricted (RST), Restricted Stock Awards (RSA) or Units (RSU) or Employee Stock Purchase Plan shares (ESPP) ) | (b) Grant ID (If applicable) | (c) Date Shares Acquired / Vest Date (If applicable) | (d) Sale Period(s) | (e) Authorized Number of Owned Shares to be Sold | (f) Limit Price (“Market” if a Market Order) | |
Start Date | End Date | |||||
“No Sale” Periods (if any) | |
Start Date | End Date |
Seller | Morgan Stanley Smith Barney LLC |
By:/s/ Chona Bagsik Hirsch | By: /s/ Carlotta Griffin | |||||
Name: Chona Bagsik Hirsch, as trustee of the CH 2024 GRAT | Name: Carlotta Griffin | |||||
Title: Trustee of the CH 2024 GRAT | Title: Executive Director | |||||
Adoption Date: 6/7/2024 | Date: 6/11/2024 |
By: | /s/Gracye Cheng | |
Name: | Gracye Cheng | |
Title: | General Counsel |
Operating Systems: | Windows® 2000, Windows® XP, Windows Vista®; Mac OS® X |
Browsers: | Internet Explorer® 11 (Windows only); Windows Edge Current Version; Mozilla Firefox Current Version; Safari(Mac OS only) 6.2 or above; Google Chrome Current Version |
PDF Reader: | Acrobat® or similar software may be required to view and print PDF files |
Screen Resolution: | 800 x 600 minimum |
Enabled Security Settings: | Allow per session cookies |