0001209191-20-045311.txt : 20200805
0001209191-20-045311.hdr.sgml : 20200805
20200805194323
ACCESSION NUMBER: 0001209191-20-045311
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200804
FILED AS OF DATE: 20200805
DATE AS OF CHANGE: 20200805
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jones Jason L.
CENTRAL INDEX KEY: 0001819177
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39411
FILM NUMBER: 201079301
MAIL ADDRESS:
STREET 1: C/O VITAL FARMS, INC.
STREET 2: 3601 SOUTH CONGRESS AVENUE, SUITE C100
CITY: AUSTIN
STATE: TX
ZIP: 78704
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Vital Farms, Inc.
CENTRAL INDEX KEY: 0001579733
STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000]
IRS NUMBER: 270496985
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1227
BUSINESS ADDRESS:
STREET 1: 3601 SOUTH CONGRESS AVENUE
STREET 2: SUITE C100
CITY: AUSTIN
STATE: TX
ZIP: 78704
BUSINESS PHONE: (877) 455-3063
MAIL ADDRESS:
STREET 1: 3601 SOUTH CONGRESS AVENUE
STREET 2: SUITE C100
CITY: AUSTIN
STATE: TX
ZIP: 78704
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-08-04
1
0001579733
Vital Farms, Inc.
VITL
0001819177
Jones Jason L.
C/O VITAL FARMS, INC.
3601 SOUTH CONGRESS AVENUE , SUITE C100
AUSTIN
TX
78704
0
0
1
0
Common Stock
2020-08-04
4
C
0
121246
A
1966927
I
See Footnote
Common Stock
2020-08-04
4
S
0
333561
20.46
D
1633366
I
See Footnote
Common Stock
2020-08-04
4
S
0
333561
20.46
D
0
I
See Footnote
Common Stock
2020-08-04
4
S
0
123000
20.46
D
640461
I
See Footnote
Common Stock
2020-08-04
4
S
0
123000
20.46
D
640461
I
See Footnote
Series B Preferred Stock
2020-08-04
4
C
0
121246
0.00
D
Common Stock
121246
0
I
See Footnote
Each share of Series B Preferred Stock converted into shares of Common Stock upon the closing of the Issuer's initial public offering, on a one-for-one basis, and had no expiration date.
The shares are held by The NANAPA Trust, formed 7/25/2018 ("NANAPA"). The Reporting Person is a trustee of NANAPA.
The shares are held by The Jones Management Trust, formed 8/31/2018 (the "Trust"). The Reporting Person is a trustee of the Trust.
The shares are held by The MIPOTH-C Trust formed 8/31/2018 ("MIPOTH-C"). The Reporting Person is a trustee of MIPOTH-C.
The shares are held by The MIPOTH-J Trust, formed 7/25/2018 ("MIPOTH-J"). The Reporting Person is a trustee of MIPOTH-J.
/s/ Jason Minio, Attorney-in-Fact
2020-08-05