0000899243-21-044350.txt : 20211112
0000899243-21-044350.hdr.sgml : 20211112
20211112161147
ACCESSION NUMBER: 0000899243-21-044350
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211110
FILED AS OF DATE: 20211112
DATE AS OF CHANGE: 20211112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: AMAZON COM INC
CENTRAL INDEX KEY: 0001018724
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41042
FILM NUMBER: 211403588
BUSINESS ADDRESS:
STREET 1: 410 TERRY AVENUE NORTH
CITY: SEATTLE
STATE: WA
ZIP: 98109
BUSINESS PHONE: 2062661000
MAIL ADDRESS:
STREET 1: 410 TERRY AVENUE NORTH
CITY: SEATTLE
STATE: WA
ZIP: 98109
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Rivian Automotive, Inc. / DE
CENTRAL INDEX KEY: 0001874178
STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 14600 MYFORD ROAD
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: (888) 748-4261
MAIL ADDRESS:
STREET 1: 14600 MYFORD ROAD
CITY: IRVINE
STATE: CA
ZIP: 92618
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-11-10
0
0001874178
Rivian Automotive, Inc. / DE
RIVN
0001018724
AMAZON COM INC
410 TERRY AVENUE NORTH
SEATTLE
WA
98109
1
0
1
0
Class A Common Stock
2021-11-10
4
C
0
86186650
A
86186650
I
See footnote
Class A Common Stock
2021-11-10
4
C
0
30714819
A
116901469
I
See footnote
Class A Common Stock
2021-11-10
4
C
0
27437057
A
144338526
I
See footnote
Class A Common Stock
2021-11-10
4
C
0
4070557
A
148409083
I
See footnote
Class A Common Stock
2021-11-10
4
C
0
7390649
A
155799732
I
See footnote
Class A Common Stock
2021-11-10
4
A
0
2564102
78.00
A
158363834
I
See footnote
Series A Preferred Stock
2021-11-10
4
C
0
86186650
0.00
D
Class A Common Stock
86186650
0
I
See footnote
Series D Preferred Stock
2021-11-10
4
C
0
30714819
0.00
D
Class A Common Stock
30714819
0
I
See footnote
Series E Preferred Stock
2021-11-10
4
C
0
27437057
0.00
D
Class A Common Stock
27437057
0
I
See footnote
Series F Preferred Stock
2021-11-10
4
C
0
4070577
0.00
D
Class A Common Stock
4070577
0
I
See footnote
Warrant (Right to Purchase)
9.089
2021-11-10
4
C
0
3723050
D
2029-09-16
Series C Preferred Stock
3723050
0
I
See footnote
Warrant (Right to Purchase)
9.089
2021-11-10
4
C
0
3723050
A
2021-11-10
2029-09-16
Class A Common Stock
3723050
3723050
I
See footnote
Convertible Notes
66.30
2021-11-10
4
C
0
490000000.00
0.00
D
2026-07-23
Class A Common Stock
7390649
0
I
See footnote
Amazon.com NV Investment Holdings LLC, a wholly-owned subsidiary of Amazon.com, Inc. ("Amazon"), is the record holder of the securities listed in this Form 4.
Upon the closing of the Issuer's initial public offering, each share of Series A Preferred Stock, Series D Preferred Stock, Series E Preferred Stock and Series F Preferred Stock (collectively, the "Preferred Stock") automatically converted into one share of the Issuer's Class A common stock, par value $0.001 per share (the "Class A Common Stock"). The shares of Preferred Stock had no expiration date.
Upon the closing of the Issuer's initial public offering, the warrant to purchase Series C Preferred Stock automatically converted into a warrant to purchase an equivalent number of Class A Common Stock at the same exercise price.
Upon the closing of the Issuer's initial public offering, the Convertible Notes automatically converted into shares of Class A Common Stock at a conversion price equal to the lesser of: (i) $71.03 and (ii) the product of (x) the initial public offering price per share of $78.00 multiplied by (y) the applicable discount rate determined by reference to the time of conversion (0.85).
/s/ David A. Zapolsky, Senior Vice President
2021-11-12