SEC Form 3 filed by new insider Accel Growth Fund Iv L.P.
| 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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 01/28/2026 |
3. Issuer Name and Ticker or Trading Symbol
Ethos Technologies Inc. [ LIFE ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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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)
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| Table I - Non-Derivative Securities Beneficially Owned | |||
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| 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) |
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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) | 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 | ||||
| Series B Preferred Stock | (1) | (2) | Class A Common Stock | 5,602,701 | (1) | D | |
| Series C Preferred Stock | (1) | (2) | Class A Common Stock | 988,276 | (1) | D | |
| Series D Preferred Stock | (1) | (2) | Class A Common Stock | 189,998 | (1) | D | |
| Series B Preferred Stock | (1) | (2) | Class A Common Stock | 267,983 | (1) | I | By Accel Growth Fund Investors 2016 L.L.C. |
| Series C Preferred Stock | (1) | (2) | Class A Common Stock | 47,268 | (1) | I | By Accel Growth Fund Investors 2016 L.L.C. |
| Series D Preferred Stock | (1) | (2) | Class A Common Stock | 9,087 | (1) | I | By Accel Growth Fund Investors 2016 L.L.C. |
| Series B Preferred Stock | (1) | (2) | Class A Common Stock | 31,871 | (1) | I | By Accel Growth Fund IV L.P. Strategic Partners L.P. |
| Series C Preferred Stock | (1) | (2) | Class A Common Stock | 5,622 | (1) | I | By Accel Growth Fund IV L.P. Strategic Partners L.P. |
| Series D Preferred Stock | (1) | (2) | Class A Common Stock | 1,080 | (1) | I | By Accel Growth Fund IV L.P. Strategic Partners L.P. |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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| Explanation of Responses: |
| 1. The Series B, Series C, and Series D Preferred Stock are each convertible into Class A Common Stock on a ratio dependent on the public offering price of the Class A Common Stock in the Issuer's initial public offering, and have no expiration date. Upon the closing of the Issuer's initial public offering, all shares of Series B, Series C, and Series D Preferred Stock will be automatically converted into shares of Class A Common Stock of the Issuer (the "Class A Conversion"). Immediately following the Class A Conversion, each share of Class A Common Stock shall be exchanged at a 1:1 ratio for shares of Class B Common Stock. |
| 2. Each share of the Series B Preferred Stock, Series C Preferred Stock and Series D Preferred Stock has no expiration date. |
| /s/ Jaspreet Singh, Attorney-in-Fact on behalf Accel Growth Fund IV Strategic Partners L.P. | 01/28/2026 | |
| /s/ Jaspreet Singh, Attorney-in-Fact on behalf of Accel Growth Fund IV L.P. | 01/28/2026 | |
| /s/ Jaspreet Singh, Attorney-in-Fact on behalf of Accel Growth Fund Investors 2016 L.L.C. | 01/28/2026 | |
| /s/ Jaspreet Singh, Attorney-in-Fact on behalf of Accel Growth Fund IV Associates L.L.C. | 01/28/2026 | |
| ** 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. | ||