SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Goldman Seth

(Last) (First) (Middle)
C/O BEYOND MEAT, INC.
119 STANDARD STREET

(Street)
EL SEGUNDO CA 90245

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/01/2019
3. Issuer Name and Ticker or Trading Symbol
BEYOND MEAT, INC. [ BYND ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) X Other (specify below)
Executive Chair
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 671,944 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series C Convertible Preferred Stock (1) (1) Common Stock 188,454 (1) I(2) By Julie D. Farkas Revocable Trust
Series D Convertible Preferred Stock (1) (1) Common Stock 20,911 (1) I(2) By Julie D. Farkas Revocable Trust
Series E Convertible Preferred Stock (1) (1) Common Stock 44,294 (1) I(2) By Julie D. Farkas Revocable Trust
Series F Convertible Preferred Stock (1) (1) Common Stock 51,087 (1) I(3) By Seth Goldman Revocable Trust
Series H Convertible Preferred Stock (1) (1) Common Stock 41,271 (1) I(3) By Seth Goldman Revocable Trust
Stock Option (right to buy) (4) 07/19/2026 Common Stock 20,133 $0.95 D
Stock Option (right to buy) (5) 05/29/2028 Common Stock 38,756 $3 D
Explanation of Responses:
1. Shares of preferred stock will automatically convert into shares of common stock on a 1-to-1 basis upon closing of the Issuer's initial public offering. The preferred stock has no expiration date.
2. As the spouse of the trustee of the Julie D. Farkas Revocable Trust ("JFTrust"), the Reporting Person may be deemed to have voting and dispositive power over the shares held by JFTrust.
3. As a trustee of the Seth Goldman Revocable Trust ("SGRTrust"), the Reporting Person has voting and dispositive power over the shares held by the SGRTrust.
4. Stock option granted under the 2011 Equity Incentive Plan (the "Plan") on July 20, 2016; the option vested and became exercisable as to 25% of the total shares on July 20, 2017, and 1/48th of the total shares vests and becomes exercisable monthly thereafter, such that the option is fully vested and exercisable on July 20, 2020, subject to any accelerated vesting provided under the Executive Change in Control Severance Agreement by and between the Reporting Person and the Issuer.
5. Stock option granted under the Plan on May 30, 2018; the option vested and became exercisable as to 25% of the total shares on August 3, 2018, and 1/48th of the total shares vests and becomes exercisable monthly thereafter, such that the option is fully vested and exercisable on August 3, 2021, subject to any accelerated vesting provided under the Executive Change in Control Severance Agreement by and between the Reporting Person and the Issuer.
Remarks:
Exhibit 24-Power of Attorney attached
Mark J. Nelson, Attorney-In-Fact for Seth Goldman 05/01/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.