0001837240-23-000216.txt : 20231215
0001837240-23-000216.hdr.sgml : 20231215
20231215172704
ACCESSION NUMBER: 0001837240-23-000216
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231213
FILED AS OF DATE: 20231215
DATE AS OF CHANGE: 20231215
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boyd William M III
CENTRAL INDEX KEY: 0001932973
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40175
FILM NUMBER: 231491470
MAIL ADDRESS:
STREET 1: C/O SYMBOTIC INC., 200 RESEARCH DRIVE
CITY: WILMINGTON
STATE: MA
ZIP: 01887
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Symbotic Inc.
CENTRAL INDEX KEY: 0001837240
STANDARD INDUSTRIAL CLASSIFICATION: GENERAL INDUSTRIAL MACHINERY & EQUIPMENT, NEC [3569]
IRS NUMBER: 981572401
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 200 RESEARCH DRIVE
CITY: WILMINGTON
STATE: MA
ZIP: 01887
BUSINESS PHONE: 978-284-2800
MAIL ADDRESS:
STREET 1: 200 RESEARCH DRIVE
CITY: WILMINGTON
STATE: MA
ZIP: 01887
FORMER COMPANY:
FORMER CONFORMED NAME: SVF Investment Corp. 3
DATE OF NAME CHANGE: 20210128
FORMER COMPANY:
FORMER CONFORMED NAME: SVF Investment III Corp.
DATE OF NAME CHANGE: 20201218
4
1
wk-form4_1702679211.xml
FORM 4
X0508
4
2023-12-13
0
0001837240
Symbotic Inc.
SYM
0001932973
Boyd William M III
C/O SYMBOTIC INC., 200 RESEARCH DRIVE
WILMINGTON
MA
01887
0
1
0
0
Chief Strategy Officer
0
Class V-1 Common Stock
2023-12-13
4
G
0
25000
0
D
489353
D
Symbotic Holdings Units
2023-12-13
4
G
0
25000
D
Class A Common Stock
25000
489353
D
Shares of Class V-1 Common Stock of the Issuer have no economic rights and each share of Class V-1 Common Stock entitles its holder to 1 vote per share.
The term "Symbotic Holdings Units" is used herein to represent limited liability company units of Symbotic Holdings LLC ("Symbotic Holdings") and an equal number of paired shares of Class V-1 Common Stock of the Issuer, which, pursuant to the limited liability company agreement of Symbotic Holdings, are redeemable by the holder on a one-for-one basis for a share of Class A Common Stock of the Issuer, subject to conversion rate adjustments for stock splits, stock dividends, reclassification and other similar transactions, and in accordance with other terms and conditions set forth in Symbotic Holdings' Second Amended and Restated Limited Liability Company Agreement, dated as of June 7, 2022. Upon redemption, the Issuer will cancel the Symbotic Holdings Units and cancel and retire for no consideration the redeemed shares of Class V-1 Common Stock.
Represents a bona fide gift to a charitable donor-advised fund. Price is not applicable to acquisitions or dispositions resulting from bona fide gifts.
/s/ Corey Dufresne, Attorney-in-Fact for William M. Boyd, III
2023-12-15