0001140361-22-047241.txt : 20221228 0001140361-22-047241.hdr.sgml : 20221228 20221228180035 ACCESSION NUMBER: 0001140361-22-047241 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221224 FILED AS OF DATE: 20221228 DATE AS OF CHANGE: 20221228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cervantes Sergio CENTRAL INDEX KEY: 0001930565 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40263 FILM NUMBER: 221495951 MAIL ADDRESS: STREET 1: C/O GROVE COLLABORATIVE INC. STREET 2: 1301 SANSOME STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94111 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 X0306 4 2022-12-24 0001841761 Grove Collaborative Holdings, Inc. GROV 0001930565 Cervantes Sergio C/O GROVE COLLABORATIVE HOLDINGS, INC. 1301 SANSOME STREET SAN FRANCISCO CA 94111 true Chief Financial Officer Class A Common Stock 2022-12-24 4 M 0 294117 A 294117 D Class A Common Stock 2022-12-24 4 F 0 101706 0.2443 D 192411 D Restricted Stock Units 2022-12-24 4 M 0 294117 0 D Class A Common Stock 294117 0 D Each restricted stock unit ("RSU") represents a contingent right to receive one share of Class A Common Stock. These RSUs were fully vested as of the December 8, 2022 grant date. The RSUs have no expiration date. /s/ Barbara Wallace, Attorney-in-Fact for Sergio Cervantes 2022-12-28