0001415889-24-011308.txt : 20240422
0001415889-24-011308.hdr.sgml : 20240422
20240422160556
ACCESSION NUMBER: 0001415889-24-011308
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240422
FILED AS OF DATE: 20240422
DATE AS OF CHANGE: 20240422
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SONSINI LARRY W
CENTRAL INDEX KEY: 0001205649
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-42018
FILM NUMBER: 24861220
MAIL ADDRESS:
STREET 1: 3303 HILLVIEW AVENUE
CITY: PALO ALTO
STATE: CA
ZIP: 94304
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Ibotta, Inc.
CENTRAL INDEX KEY: 0001538379
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310]
ORGANIZATION NAME: 07 Trade & Services
IRS NUMBER: 352426358
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1801 CALIFORNIA STREET, SUITE 400
CITY: DENVER
STATE: CO
ZIP: 80202
BUSINESS PHONE: 303-593-1633
MAIL ADDRESS:
STREET 1: 1801 CALIFORNIA STREET, SUITE 400
CITY: DENVER
STATE: CO
ZIP: 80202
FORMER COMPANY:
FORMER CONFORMED NAME: Zing Enterprises, Inc.
DATE OF NAME CHANGE: 20111228
4
1
form4-04222024_040443.xml
X0508
4
2024-04-22
0001538379
Ibotta, Inc.
IBTA
0001205649
SONSINI LARRY W
C/O IBOTTA, INC.
1801 CALIFORNIA STREET, SUITE 400
DENVER
CO
80202
true
false
false
false
0
Common Stock
2024-04-22
4
J
0
64545
D
0
D
Class A Common Stock
2024-04-22
4
J
0
64545
A
64545
D
Common Stock
2024-04-22
4
C
0
191270
A
191270
I
See footnote
Common Stock
2024-04-22
4
C
0
24390
A
24390
I
See footnote
Common Stock
2024-04-22
4
C
0
6459
A
6459
I
See footnote
Common Stock
2024-04-22
4
C
0
2153
A
2153
I
See footnote
Common Stock
2024-04-22
4
C
0
12638
A
12638
I
See footnote
Common Stock
2024-04-22
4
J
0
191270
D
0
I
See footnote
Common Stock
2024-04-22
4
J
0
24390
D
0
I
See footnote
Common Stock
2024-04-22
4
J
0
6459
D
0
I
See footnote
Common Stock
2024-04-22
4
J
0
2153
D
0
I
See footnote
Common Stock
2024-04-22
4
J
0
12638
D
0
I
See footnote
Class A Common Stock
2024-04-22
4
J
0
191270
A
191270
I
See footnote
Class A Common Stock
2024-04-22
4
J
0
24390
A
24390
I
See footnote
Class A Common Stock
2024-04-22
4
J
0
6459
A
6459
I
See footnote
Class A Common Stock
2024-04-22
4
J
0
2153
A
2153
I
See footnote
Class A Common Stock
2024-04-22
4
J
0
12638
A
12638
I
See footnote
Class A Common Stock
2024-04-22
4
C
0
1569
63.80
A
1569
I
See footnote
Series Seed Preferred Stock
2024-04-22
4
C
0
191270
D
Common Stock
191270
0
I
See footnote
Series A Preferred Stock
2024-04-22
4
C
0
24390
D
Common Stock
24390
0
I
See footnote
Series C Preferred Stock
2024-04-22
4
C
0
6459
D
Common Stock
6459
0
I
See footnote
Series C Preferred Stock
2024-04-22
4
C
0
2153
D
Common Stock
2153
0
I
See footnote
Series C-1 Preferred Stock
2024-04-22
4
C
0
12638
D
Common Stock
12638
0
I
See footnote
Convertible Promissory Note
63.80
2024-04-22
4
C
0
1569
D
Class A Common Stock
1569
0
I
See footnote
Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was automatically reclassified into one share of Class A Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock (the "IPO").
Certain of these securities are restricted stock units ("RSUs"). Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock, subject to the applicable vesting schedule and conditions of each RSU.
Each share of Series Seed Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the IPO and had no expiration date.
The shares are held by WS Investment Company LLC (2011A), of which the Reporting Person is a member and has voting and investment control.
Each share of Series A Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the IPO and had no expiration date.
The shares are held by WS Investment Company, LLC (2013A), of which the Reporting Person is a member and has voting and investment control.
Each share of Series C Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the IPO and had no expiration date.
The shares are held by WS Investment Company, LLC (2015A), of which the Reporting Person is a member and has voting and investment control.
The shares are held by WS Investment Company, LLC (2015C), of which the Reporting Person is a member and has voting and investment control.
Each share of Series C-1 Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the IPO and had no expiration date.
The shares are held by WS Investment Company, LLC (2017A), of which the Reporting Person is a member and has voting and investment control.
The shares are held by WS Investment Company, LLC (22A), of which the Reporting Person is a member and has voting and investment control.
The principal amount of the Convertible Promissory Note (together with accrued interest thereon) automatically converted into shares of Class A Common Stock at a conversion price equal to $63.80. The Convertible Promissory Note has a maturity date of March 24, 2027. The treatment of the Convertible Promissory Note in the IPO was exempt pursuant to Rule 16b-6 and Rule 16b-3.
/s/ David Shapiro, by power of attorney
2024-04-22