Sec Form 3 Filing - Hastings Mark Edward @ EverCommerce Inc. - 2021-06-30

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Hastings Mark Edward
2. Issuer Name and Ticker or Trading Symbol
EverCommerce Inc. [ EVCM]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
401 PARK DRIVE, SUITE 204
3. Date of Earliest Transaction (MM/DD/YY)
06/30/2021
(Street)
BOSTON, MA02215
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock , par value $0.00001 per share 29,718,428 I See Footnotes (1), (2), and (3). ( 1 ) ( 2 ) ( 3 )
Series A Convertible Preferred Stock 43,597,665 I See Footnotes (1), (2), and (3). ( 1 ) ( 2 ) ( 3 )
Series B Convertible Preferred Stock 8,219,899 I See Footnotes (1), (2), and (3). ( 1 ) ( 2 ) ( 3 )
Series C Convertible Preferred Stock 3,928,571 I See Footnotes (1), (2), and (3). ( 1 ) ( 2 ) ( 3 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Ins tr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Hastings Mark Edward
401 PARK DRIVE
SUITE 204
BOSTON, MA02215
X X
Signatures
/s/ Aaron W. Fine as Attorney-In-Fact 07/01/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents shares held directly by Providence Strategic Growth II L.P. ("PSG II") Providence Strategic Growth II-A L.P. ("PSG II-A"), Providence Strategic Growth III L.P. ("PSG III"), Providence Strategic Growth III-A L.P. ("PSG III-A"),and PSG PS Co-Investors L.P. ("PSG Co-Invest" and together with PSG II, PSG II-A, PSG III and PSG III-A, the "PSG Funds"). PSG Ultimate GP Managing Member L.L.C. ("PSG Managing Member"), is the indirect managing member of the PSG Funds and holds voting and dispositive power over the shares of common stock held by the PSG Funds. (CONTINUED IN NEXT FOOTNOTE)
( 2 )(CONTINUED FROM PREVIOUS FOOTNOTE) The members of PSG Managing Member are controlled by each of Mark Hastings and Peter Wilde, respectively. Mr. Hastings is also a member of the board of directors of EverCommerce, Inc. (the "Issuer"). Mr. Hastings disclaims beneficial ownership of any of the common stock held by the PSG Funds,except to the extent of their pecuniary interest therein. The address for the reporting person is c/o Providence Strategic Growth Capital Partners L.L.C., 401 Park Drive, Suite 204, Boston, MA 02215.
( 3 )The shares of each series of Convertible Preferred Stock of the Issuer are convertible at the option of the holder in accordance with the conditions specified in the certificate of incorporation of the Issuer and will automatically convert on a one-for-one basis into common stock of the Issuer upon the closing of the Issuer's initial public offering.

Remarks:
See Exhibit 24.1 - Power of Attorney

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