0000899243-21-026737.txt : 20210630
0000899243-21-026737.hdr.sgml : 20210630
20210630155552
ACCESSION NUMBER: 0000899243-21-026737
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210625
FILED AS OF DATE: 20210630
DATE AS OF CHANGE: 20210630
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Daikeler Carl
CENTRAL INDEX KEY: 0001844701
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39735
FILM NUMBER: 211061880
MAIL ADDRESS:
STREET 1: C/O FOREST ROAD ACQUISITION CORP.
STREET 2: 1177 AVENUE OF THE AMERICAS, 5TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Forest Road Acquisition Corp.
CENTRAL INDEX KEY: 0001826889
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-NONSTORE RETAILERS [5960]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1177 AVENUE OF THE AMERICAS FL 5
CITY: NEW YORK
STATE: NY
ZIP: 10036
BUSINESS PHONE: 5168609262
MAIL ADDRESS:
STREET 1: 1177 AVENUE OF THE AMERICAS FL 5
CITY: NEW YORK
STATE: NY
ZIP: 10036
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-06-25
0
0001826889
Forest Road Acquisition Corp.
BODY
0001844701
Daikeler Carl
C/O THE BEACHBODY COMPANY, INC.
3301 EXPOSITION BLVD.
SANTA MONICA
CA
90404
1
1
1
0
SEE REMARKS
CLASS X COMMON STOCK
2021-06-25
4
A
0
133649614
A
CLASS A COMMON STOCK
133649614
133649614
I
By Trust
Represents the issuance of the Issuer's securities in exchange for securities of The Beachbody Company Group. LLC pursuant to that certain Agreement and Plan of Merger, dated as of February 9, 2021, by and among Forest Road Acquisition Corp., BB Merger Sub, LLC, MFH Merger Sub, LLC, The Beachbody Company Group, LLC, and Myx Fitness Holdings, LLC.
Each share of Class X Common Stock is convertible into one share of Class A Common Stock upon certain events listed in the Issuer's Registration Statement on Form S-4/A filed with the Securities and Exchange Commission on May 27, 2021 concerning the Transaction. The Class X Common Stock has no expiration date.
Held by the Carl Daikeler & Isabelle Brousseau Daikeler Revocable Trust.
Title: Co-Founder, Chairman and Chief Executive Officer.
/s/ Jonathan Gelfand, Attorney-in-Fact for Carl Daikeler
2021-06-29