0001415889-24-011065.txt : 20240417 0001415889-24-011065.hdr.sgml : 20240417 20240417202154 ACCESSION NUMBER: 0001415889-24-011065 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20240417 FILED AS OF DATE: 20240417 DATE AS OF CHANGE: 20240417 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lehrman Thomas D CENTRAL INDEX KEY: 0001881476 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-42018 FILM NUMBER: 24852558 MAIL ADDRESS: STREET 1: C/O GERSON LEHRMAN GROUP, INC. STREET 2: 60 EAST 42ND STREET CITY: NEW YORK STATE: NY ZIP: 10165 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 3 1 form3-04182024_120446.xml X0206 3 2024-04-17 0 0001538379 Ibotta, Inc. IBTA 0001881476 Lehrman Thomas D C/O IBOTTA, INC. 1801 CALIFORNIA STREET, SUITE 400 DENVER CO 80202 true false false false Common Stock 4545 D Series Seed Preferred Stock Common Stock 67567 D Series A Preferred Stock Common Stock 24390 D Series C Preferred Stock Common Stock 172265 D Series C-1 Preferred Stock Common Stock 94781 D Series C Preferred Stock Common Stock 172265 I See footnote Series C Preferred Stock Common Stock 172265 I See footnote Series C-1 Preferred Stock Common Stock 63187 I See footnote Series C Preferred Stock Common Stock 172265 I See footnote Series C-1 Preferred Stock Common Stock 94781 I See footnote Each share of Common Stock shall be 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"). 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 shall automatically convert into Common Stock on a 1:1 basis immediately prior to the completion of the IPO and has no expiration date. Each share of Series A Preferred Stock shall automatically convert into Common Stock on a 1:1 basis immediately prior to the completion of the IPO and has no expiration date. Each share of Series C Preferred Stock shall automatically convert into Common Stock on a 1:1 basis immediately prior to the completion of the IPO and has no expiration date. Each share of Series C-1 Preferred Stock shall automatically convert into Common Stock on a 1:1 basis immediately prior to the completion of the IPO and has no expiration date. The shares are held by Four Ways, LLC, of which the Reporting Person is a member and has voting and investment control. The shares are held by Haystack Partners I LP, of which the Reporting Person is a partner and has voting and investment control. The shares are held by LFP 2, LLC, of which the Reporting Person is a member and has voting and investment control. Exhibit 24 - Power of Attorney /s/ David Shapiro, by power of attorney 2024-04-17 EX-24 2 ex24-04182024_120446.htm ex24-04182024_120446.htm

LIMITED POWER OF ATTORNEY - SECURITIES LAW COMPLIANCE

The undersigned, as an officer or director of Ibotta, Inc. (the “Corporation”), hereby

constitutes and appoints David Shapiro, Sunit Patel and Jared Chomko, each the undersigned’s

true and lawful attorney-in-fact and agent to complete and execute such Forms 144, Form ID,

Forms 3, 4 and 5 and other forms as such attorney shall in his or her discretion determine

to be required or advisable pursuant to Rule 144 promulgated under the Securities Act of

1933, as amended, Section 16 of the Securities Exchange Act of 1934, as amended, and the

rules and regulations promulgated thereunder, or any successor laws and regulations,

as a consequence of the undersigned’s ownership, acquisition or disposition of securities of

the Corporation, and to do all acts necessary in order to file such forms with the Securities

and Exchange Commission, any securities exchange or national association, the Corporation

and such other person or agency as the attorney shall deem appropriate.


The undersigned hereby ratifies and confirms all that said attorneys-in-fact and agents shall

do or cause to be done by virtue hereof.  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 Corporation assuming, any of the undersigned's responsibilities to comply with

Section 16 of the Securities Exchange Act of 1934 (as amended).

This Limited Power of Attorney shall remain in full force and effect until the undersigned is

no longer required to file Form 144, and/or Forms 3, 4 and 5 with respect to the undersigned's

holdings of and transactions in securities issued by the Corporation unless earlier revoked by

the undersigned in a writing delivered to the foregoing attorneys-in-fact.

This Limited Power of Attorney is executed as of the date set forth below.



Signature:  /s/ Thomas D. Lehrman


Print Name:  Thomas D. Lehrman


Dated:  March 21, 2024




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