| 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) 04/14/2023 |
3. Issuer Name and Ticker or Trading Symbol
Spark Networks SE [ LOV ] |
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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 | ||||
| Stock Option(1) | (2) | 12/30/2029 | American Depository Shares(3) | 40,000 | 0.0 | D | |
| Stock Option(1) | (2) | 12/30/2029 | American Depository Shares(3) | 80,000 | 1.07 | D | |
| Explanation of Responses: |
| 1. Each stock option is granted under the Spark Networks SE (the "Company") 2020 Long Term Incentive Plan and represents the right to receive, upon exercise, a certain amount in cash determined based on the relevant strike price of the option minus the strike price of such option; provided, however, that the Company may elect to settle options in American Depository Shares ("ADS") or Ordinary Shares of the Company instead of cash at its sole discretion. |
| 2. Subject to the employee's continued service to the Company, (i) 25% of the total number of options granted to the employee vest 12 months after the grant date of such option, and (ii) an additional 6.25% of such options shall vest at the end of each additional three month period thereafter until the end of the 48th month after the relevant grant date. |
| 3. Each American Depository Share ("ADS") represents 0.1 Ordinary Shares of Spark Networks SE (the "Company"). |
| Remarks: |
| /s/ Kristie Goodgion | 04/24/2023 | |
| ** 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. | ||