SEC FORM 5 SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Form 3 Holdings Reported.
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
Liberman Paul

(Last) (First) (Middle)
C/O DRAFTKINGS INC.
222 BERKELEY STREET, 5TH FLOOR

(Street)
BOSTON MA 02116

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
DraftKings Inc. [ DKNG ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Class A Common Stock 08/18/2021 G(1) 1,690 D $0.00 1,332,187 D
Class A Common Stock 12/22/2021 G(2) 1,223,208 D $0.00 108,979 D
Class A Common Stock 12/22/2021 G(2) 1,223,208 A $0.00 1,227,494 I Held by the Paul Liberman 2015 Revocable Trust
Class A Common Stock 272,357 I Held by the Paul Liberman 2020 Trust
Class A Common Stock 13,597 I Held by the Liberman Grantor Retained Annuity Trust of 2020
Class A Common Stock 200,000 I Held by the Rachel Nager Liberman 2015 Revocable Trust
Class A Common Stock 200,000 I Held by the Paul Liberman 2020 Irrevocable Trust
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option $0.63 12/22/2021 G(3) 188,238 (4) 03/24/2026 Class A Common Stock 188,238 $0.00(3) 0 D
Employee Stock Option $0.63 12/22/2021 G(3) 188,238 (4) 03/24/2026 Class A Common Stock 188,238 $0.00(3) 188,238 I Held by the Paul Liberman 2015 Revocable Trust
Employee Stock Option $3.29 12/22/2021 G(3) 73,402 (4) 04/18/2028 Class A Common Stock 73,402 $0.00(3) 0 D
Employee Stock Option $3.29 12/22/2021 G(3) 73,402 (4) 04/18/2028 Class A Common Stock 73,402 $0.00(3) 73,402 I Held by the Paul Liberman 2015 Revocable Trust
Employee Stock Option $3.29 12/22/2021 G(3) 3,445 (4) 04/18/2028 Class A Common Stock 3,445 $0.00(3) 46,241 D
Employee Stock Option $3.29 12/22/2021 G(3) 3,445 (4) 04/18/2028 Class A Common Stock 3,445 $0.00(3) 3,445 I Held by the Paul Liberman 2015 Revocable Trust
Employee Stock Option $3.82 12/22/2021 G(3) 40,886 (4) 05/03/2027 Class A Common Stock 40,886 $0.00(3) 0 D
Employee Stock Option $3.82 12/22/2021 G(3) 40,886 (4) 05/03/2027 Class A Common Stock 40,886 $0.00(3) 40,886 I Held by the Paul Liberman 2015 Revocable Trust
Employee Stock Option $0.63 12/22/2021 G(3) 53,990 (4) 02/18/2025 Class A Common Stock 53,990 $0.00(3) 0 D
Employee Stock Option $0.63 12/22/2021 G(3) 53,990 (4) 02/18/2025 Class A Common Stock 53,990 $0.00(3) 53,990 I Held by the Paul Liberman 2015 Revocable Trust
Employee Stock Option $0.63 12/22/2021 G(3) 13,197 (4) 08/27/2025 Class A Common Stock 13,197 $0.00(3) 0 D
Employee Stock Option $0.63 12/22/2021 G(3) 13,197 (4) 08/27/2025 Class A Common Stock 13,197 $0.00(3) 13,197 I Held by the Paul Liberman 2015 Revocable Trust
Employee Stock Option $3.29 12/22/2021 G(3) 1,511,843 (4) 05/03/2028 Class A Common Stock 1,511,843 $0.00(3) 0 D
Employee Stock Option $3.29 12/22/2021 G(3) 1,511,843 (4) 05/03/2028 Class A Common Stock 1,511,843 $0.00(3) 1,511,843 I Held by the Paul Liberman 2015 Revocable Trust
Employee Stock Option $4.7 12/22/2021 G(3) 106,088 (4) 06/04/2029 Class A Common Stock 106,088 $0.00(3) 0 D
Employee Stock Option $4.7 12/22/2021 G(3) 106,088 (4) 06/04/2029 Class A Common Stock 106,088 $0.00(3) 106,088 I Held by the Paul Liberman 2015 Revocable Trust
Employee Stock Option $4.7 12/22/2021 G(3) 300,584 (4) 06/04/2029 Class A Common Stock 300,584 $0.00(3) 0 D
Employee Stock Option $4.7 12/22/2021 G(3) 300,584 (4) 06/04/2029 Class A Common Stock 300,584 $0.00(3) 300,584 I Held by the Paul Liberman 2015 Revocable Trust
Employee Stock Option $4.7 12/22/2021 G(3) 112,720 (4) 06/04/2029 Class A Common Stock 112,720 $0.00(3) 131,504 D
Employee Stock Option $4.7 12/22/2021 G(3) 112,720 (4) 06/04/2029 Class A Common Stock 112,720 $0.00(3) 112,720 I Held by the Paul Liberman 2015 Revocable Trust
Explanation of Responses:
1. Represents a bona fide charitable gift of the Issuer's Class A Common Stock (the "Common Stock") from the Reporting Person to a donor-advised fund. There was no purchase or sale of shares of Common Stock in connection with the transfer.
2. Represents a bona fide gift of the Common Stock to the Paul Liberman 2015 Revocable Trust. There was no purchase or sale of shares of Common Stock in connection with the transfer.
3. Represents a bona fide gift of the Issuer's stock options to the Paul Liberman 2015 Revocable Trust. No shares of Common Stock were sold in connection with the transfer.
4. The options are vested and currently exercisable.
Remarks:
President, Global Technology and Product
/s/ Faisal Hasan, attorney-in-fact 02/14/2022
** Signature of Reporting Person Date
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