SEC FORM 3/A 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
 
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Stripes Holdings, LLC

(Last) (First) (Middle)
402 WEST 13TH STREET, 4TH FLOOR

(Street)
NEW YORK NY 10014

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/22/2021
3. Issuer Name and Ticker or Trading Symbol
Remitly Global, Inc. [ RELY ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
09/22/2021
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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)
Common stock, $0.0001 par value per share 114,857 I See Footnote(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Seed Convertible Preferred Stock (2) (2) Common stock, $0.0001 par value per share 35,895 (2) I See Footnote(1)
Series A Convertible Preferred Stock (2) (2) Common stock, $0.0001 par value per share 749,298 (2) I See Footnote(1)
Series C Convertible Preferred Stock (2) (2) Common stock, $0.0001 par value per share 14,786,424 (2) I See Footnote(1)
Series D Convertible Preferred Stock (2) (2) Common stock, $0.0001 par value per share 2,110,038 (2) I See Footnote(1)
Series E Convertible Preferred Stock (2) (2) Common stock, $0.0001 par value per share 335,762 (2) I See Footnote(1)
Series F Convertible Preferred Stock (2) (2) Common stock, $0.0001 par value per share 475,179 (2) I See Footnote(1)
1. Name and Address of Reporting Person*
Stripes Holdings, LLC

(Last) (First) (Middle)
402 WEST 13TH STREET, 4TH FLOOR

(Street)
NEW YORK NY 10014

(City) (State) (Zip)
1. Name and Address of Reporting Person*
FOX KENNETH A

(Last) (First) (Middle)
402 WEST 13TH STREET, 4TH FLOOR

(Street)
NEW YORK NY 10014

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Stripes GP III, LLC

(Last) (First) (Middle)
402 WEST 13TH STREET

(Street)
NEW YORK NY 10014

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Stripes III, LP

(Last) (First) (Middle)
402 WEST 13TH STREET, 4TH FLOOR

(Street)
NEW YORK NY 10014

(City) (State) (Zip)
Explanation of Responses:
1. See Exhibit 99.1.
2. Immediately prior to the completion of the Issuer's initial public offering, each outstanding share of the Issuer's convertible preferred stock will automatically convert into common stock at a ratio of one-to-one.
Remarks:
This amendment is being filed to include EDGAR codes for each of the joint filers identified in the original filing of this Form 3. All filers were unable to obtain filing codes prior to the due date for the initial Form 3 filing.
See Exhibit 99.2 09/29/2021
** 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.
Exhibit 99.1


Stripes III, LP (“Stripes LP”) holds securities of the Issuer. Stripes GP III, LLC (“Stripes GP”) serves as the general partner of Stripes LP. Stripes Holdings, LLC (“Stripes Holdings”) is the managing member of Stripes GP. Kenneth A. Fox is the managing member of Stripes Holdings.

Each of the entities listed above, other than Stripes LP, and Mr. Fox, disclaims beneficial ownership of any shares of the Issuer’s common stock owned of record by Stripes LP, except to the extent of any pecuniary interest therein, and the filing of this Form 3 shall not be construed as an admission that any such person or entity is the beneficial owner of any such securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.

Exhibit 99.2


This Statement on Form 3 is filed by: (i) Stripes III, LP; (ii) Stripes GP III, LLC; (iii) Stripes Holdings, LLC; and (iv) Kenneth A. Fox.

Name of Designated Filer: Stripes Holdings, LLC
Date of Event Requiring Statement:  September 22, 2021
Issuer Name and Ticker or Trading Symbol:  Remitly Global, Inc. [RELY]

STRIPES III, LP

By:            Stripes GP III, LLC,
its general partner

By:            Stripes Holdings, LLC,
its managing member

By:            /s/ Wayne Marino, as attorney-in-fact
Kenneth A. Fox
Managing Member


STRIPES GP III, LLC

By:            Stripes Holdings, LLC,
its managing member

By:            /s/ Wayne Marino, as attorney-in-fact
Kenneth A. Fox
Managing Member


STRIPES HOLDINGS, LLC

By:            /s/ Wayne Marino, as attorney-in-fact
Kenneth A. Fox
Managing Member


KENNETH A. FOX
/s/ Wayne Marino, as attorney-in-fact