0000899243-21-013174.txt : 20210323 0000899243-21-013174.hdr.sgml : 20210323 20210323171159 ACCESSION NUMBER: 0000899243-21-013174 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210323 FILED AS OF DATE: 20210323 DATE AS OF CHANGE: 20210323 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kaul Samir CENTRAL INDEX KEY: 0001501915 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40247 FILM NUMBER: 21765578 MAIL ADDRESS: STREET 1: C/O KHOSLA VENTURES STREET 2: 3000 SAND HILL ROAD, BLDG. 3, SUITE 170 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Khosla Ventures SPAC Sponsor III LLC CENTRAL INDEX KEY: 0001845858 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40247 FILM NUMBER: 21765577 BUSINESS ADDRESS: STREET 1: 2128 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6503768500 MAIL ADDRESS: STREET 1: 2128 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SK SPAC Services, LLC CENTRAL INDEX KEY: 0001848897 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40247 FILM NUMBER: 21765575 BUSINESS ADDRESS: STREET 1: 2128 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6503768500 MAIL ADDRESS: STREET 1: 2128 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Khosla Ventures SPAC Sponsor Services LLC CENTRAL INDEX KEY: 0001848793 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40247 FILM NUMBER: 21765576 BUSINESS ADDRESS: STREET 1: 2128 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6503768500 MAIL ADDRESS: STREET 1: 2128 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Khosla Ventures Acquisition Co. III CENTRAL INDEX KEY: 0001846068 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 861777015 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2128 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6503768500 MAIL ADDRESS: STREET 1: 2128 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-03-23 0 0001846068 Khosla Ventures Acquisition Co. III KVSC 0001501915 Kaul Samir C/O KHOSLA VENTURES ACQUISITION CO. III 2128 SAND HILL RD MENLO PARK CA 94025 1 1 1 0 Chief Executive Officer 0001845858 Khosla Ventures SPAC Sponsor III LLC C/O KHOSLA VENTURES ACQUISITION CO. III 2128 SAND HILL RD MENLO PARK CA 94025 0 0 1 0 0001848793 Khosla Ventures SPAC Sponsor Services LLC C/O KHOSLA VENTURES ACQUISITION CO. III 2128 SAND HILL RD MENLO PARK CA 94025 0 0 1 0 0001848897 SK SPAC Services, LLC C/O KHOSLA VENTURES ACQUISITION CO. III 2128 SAND HILL RD MENLO PARK CA 94025 0 0 1 0 Class B Common Stock Class A Common Stock 4880000 I See Footnote Class K Common Stock Class A Common Stock 5000000 I See Footnote The Class B Common Stock will automatically convert into shares of Class A Common Stock at the completion of the Issuer's initial business combination, subject to adjustment as set forth in the Amended and Restated Certificate of Incorporation of the Issuer. Khosla Ventures SPAC Sponsor III LLC ("Sponsor") is the record holder of the shares reported herein. Khosla Ventures SPAC Sponsor Services LLC is the owner of Sponsor. VK Services LLC and SK SPAC Services, LLC are the joint owners of Khosla Ventures SPAC Sponsor Services LLC. Vinod Khosla and Samir Kaul are the managing members of VK Services LLC and SK SPAC Services, LLC, respectively. As such, each of VK Services LLC, SK SPAC Services, LLC and Messrs. Khosla and Kaul may be deemed to share beneficial ownership of the shares held directly by Sponsor. Each of VK Services LLC, SK SPAC Services, LLC and Messrs. Khosla and Kaul disclaim any beneficial ownership of such shares other than to the extent of their pecuniary interest therein. The Class K Common Stock will automatically convert into shares of Class A Common Stock at the completion of the Issuer's initial business combination only to the extent certain triggering events and other conditions occur, subject to adjustment, as set forth in the Amended and Restated Certificate of Incorporation of the Issuer. /s/ Samir Kaul, on behalf of himself and each of Khosla Ventures SPAC Sponsor III LLC, Khosla Ventures SPAC Sponsor Services LLC and SK SPAC Services, LLC 2021-03-23 EX-24 2 attachment1.htm EX-24 DOCUMENT

                               POWER OF ATTORNEY

     Know all by these presents, that the undersigned hereby constitutes and
appoints each of (i) the Chief Executive Officer of Khosla Ventures Acquisition
Co. III, a Delaware corporation (the "Company"), who is currently Samir Kaul,
(ii) the Company's Chief Financial Officer, who is currently Peter Buckland and
their respective successors, signing singly, with full power of substitution, as
the undersigned's true and lawful attorney-in-fact to:

     (1)   execute for and on behalf of the undersigned, in the undersigned's
           capacity as an officer and/or director of the Company, Forms 3, 4 and
           5 (including amendments thereto) in accordance with Section 16(a) of
           the Securities Exchange Act of 1934 and the rules and regulations
           thereunder and a Form ID, Uniform Application for Access Codes to
           File on EDGAR;

     (2)   do and perform any and all acts for and on behalf of the undersigned
           which may be necessary or desirable to complete and execute any such
           Forms 3, 4 or 5 or Form ID and timely file such forms (including
           amendments thereto) and application with the United States Securities
           and Exchange Commission and any stock exchange or similar authority;
           and

     (3)   take any other action of any type whatsoever in connection with the
           foregoing which, in the opinion of such attorney-in-fact, may be of
           benefit to, in the best interest of, or legally required by, the
           undersigned, it being understood that the documents executed by such
           attorney-in-fact on behalf of the undersigned pursuant to this Power
           of Attorney shall be in such form and shall contain such terms and
           conditions as such attorney-in-fact may approve in such attorney-in-
           fact's discretion.

     The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted.  The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.

     The undersigned agrees that each such attorney-in-fact herein may rely
entirely on information furnished orally or in writing by the undersigned to
such attorney-in-fact.  The undersigned also agrees to indemnify and hold
harmless the Company and each such attorney-in-fact against any losses, claims,
damages or liabilities (or actions in these respects) that arise out of or are
based upon any untrue statements or omission of necessary facts in the
information provided by the undersigned to such attorney-in fact for purposes of
executing, acknowledging, delivering or filing Forms 3, 4 or 5 (including
amendments thereto) or Form ID and agrees to reimburse the Company and such
attorney-in-fact for any legal or other expenses reasonably incurred in
connection with investigating or defending against any such loss, claim, damage,
liability or action.

     This Power of Attorney supersedes any power of attorney previously executed
by the undersigned regarding the purposes outlined in the first paragraph hereof
("Prior Powers of Attorney"), and the authority of the attorneys-in-fact named
in any Prior Powers of Attorney is hereby revoked.

     This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 or 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier (a) revoked by the undersigned in a signed writing delivered to
the foregoing attorneys-in-fact or (b) superseded by a new power of attorney
regarding the purposes outlined in the first paragraph hereof dated as of a
later date.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 24th day of February, 2021.

                                                   /s/ Samir Kaul
                                                   --------------------------
                                                   Samir Kaul