0001127602-23-020762.txt : 20230717
0001127602-23-020762.hdr.sgml : 20230717
20230717105642
ACCESSION NUMBER: 0001127602-23-020762
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230713
FILED AS OF DATE: 20230717
DATE AS OF CHANGE: 20230717
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Glazer David A.
CENTRAL INDEX KEY: 0001823940
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40263
FILM NUMBER: 231090847
MAIL ADDRESS:
STREET 1: C/O PALANTIR TECHNOLOGIES INC.
STREET 2: 1200 17TH STREET, FLOOR 15
CITY: DENVER
STATE: CO
ZIP: 80202
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Grove Collaborative Holdings, Inc.
CENTRAL INDEX KEY: 0001841761
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961]
IRS NUMBER: 882840659
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1301 SANSOME STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
BUSINESS PHONE: (800) 231-8527
MAIL ADDRESS:
STREET 1: 1301 SANSOME STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111
FORMER COMPANY:
FORMER CONFORMED NAME: Virgin Group Acquisition Corp. II
DATE OF NAME CHANGE: 20210122
4
1
form4.xml
PRIMARY DOCUMENT
X0508
4
2023-07-13
0001841761
Grove Collaborative Holdings, Inc.
GROV
0001823940
Glazer David A.
C/O GROVE COLLABORATIVE HOLDINGS, INC.
1301 SANSOME STREET
SAN FRANCISCO
CA
94111
1
0
Class A Common Stock
51934
D
Restricted Stock Units
2023-07-13
4
A
0
32222
A
Class A Common Stock
32222
32222
D
On June 5, the common stock of Grove Collaborative Holdings, Inc. reverse split 1-for-5, resulting in a decrease of 207,739 shares in the reporting person's ownership of common stock.
Each restricted stock unit ("RSU") represents a contingent right to receive one share of class A Common Stock
These RSUs will fully vest on the earlier of May 15, 2024 or the date of the 2024 Annual Meeting of Stockholders.
The RSUs have no expiration date.
/s/Barbara Wallace, Attorney-in-Fact for David A. Glazer
2023-07-17