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