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 of Derivative Security: 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 (Right to Buy)
|
Â
(1)
|
01/26/2016 |
Common Stock
|
501,802
(2)
|
$
0.49
(2)
|
D
|
Â
|
Stock Option (Right to Buy)
|
Â
(1)
|
01/26/2016 |
Common Stock
|
2,285,422
(3)
|
$
0.6
(3)
|
D
|
Â
|
* |
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). |
(1) |
These options are 25% vested as of the date hereof and will vest in equal installments on each of January 27, 2008, January 27, 2009 and January 27, 2010. |
(2) |
Mr. Meers has an option to purchase 1,170,000 shares of common stock of the Issuer's subsidiary, Lululemon Athletica USA Inc., at an exercise price of $0.21 per share. The option will be exchanged in a corporate reorganizaiton of the Issuer in connection with the Issuer's initial public offering, for (i) an option to purchase the number of shares of the Issuer's common stock shown in the table, at the exercise price shown in the table, and (ii) an additional option to purchase shares of the Issuer's common stock that vests based on the achievement of certain performance-based objectives and which accordingly does not constitute a "derivative security" within the meaning of Section 16. |
(3) |
Mr. Meers has an option to purchase 1,170,000 shares of common stock of the Issuer's subsidiary, Lululemon Athletica, Inc., at an exercise price of $1.18 per share. The option will be exchanged in a corporate reorganization of the Issuer for (i) an option to purchase the number of shares of the Issuer's common stock shown in the table, at the exercise price shown in the table, and (ii) an additional option to purchase shares of the Issuer's common stock that vests based on the achievement of certain performance-based objectives and which accordingly does not constitute a "derivative security" within the meaning of Section 16. |