0001628280-24-027191.txt : 20240607 0001628280-24-027191.hdr.sgml : 20240607 20240607113646 ACCESSION NUMBER: 0001628280-24-027191 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240605 FILED AS OF DATE: 20240607 DATE AS OF CHANGE: 20240607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jensen Christopher J. CENTRAL INDEX KEY: 0002017916 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-42018 FILM NUMBER: 241028085 MAIL ADDRESS: STREET 1: C/O IBOTTA, INC. STREET 2: 1801 CALIFORNIA STREET, SUITE 400 CITY: DENVER STATE: CO ZIP: 80202 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 wk-form4_1717774599.xml FORM 4 X0508 4 2024-06-05 0 0001538379 Ibotta, Inc. IBTA 0002017916 Jensen Christopher J. C/O IBOTTA, INC. 1801 CALIFORNIA STREET, SUITE 400 DENVER CO 80202 0 1 0 0 CHIEF REVENUE OFFICER 0 Class A Common Stock 2024-06-05 4 M 0 17722 12.75 A 105786 D Class A Common Stock 2024-06-05 4 M 0 1042 8.30 A 106828 D Class A Common Stock 2024-06-05 4 M 0 834 12.45 A 107662 D Employee Stock Option (right to buy) 12.75 2024-06-05 4 M 0 17722 0 D 2030-02-04 Class A Common Stock 17722 16337 D Employee Stock Option (right to buy) 8.30 2024-06-05 4 M 0 1042 0 D 2031-02-09 Class A Common Stock 1042 3542 D Employee Stock Option (right to buy) 12.45 2024-06-05 4 M 0 834 0 D 2031-05-14 Class A Common Stock 834 8958 D The shares acquired upon exercise of the stock option may be transferred only in accordance with the terms of a lock-up agreement entered into between the Reporting Person and the Issuer in connection with the Issuer's initial public offering of Class A Common Stock in April 2024. 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. All of the shares subject to the option are fully vested and exercisable as of the date hereof. This option, originally for 10,000 shares, vested as to 1/48th of the shares on February 4, 2021 and 1/48th of the shares vest monthly thereafter, subject to the Reporting Person's continued service through each vesting date. This option, originally for 10,000 shares, vested as to 1/48th of the shares on April 11, 2021 and 1/48th of the shares vest monthly thereafter, subject to the Reporting Person's continued service through each vesting date. /s/ David Shapiro, by power of attorney 2024-06-07