0000899243-21-045169.txt : 20211117 0000899243-21-045169.hdr.sgml : 20211117 20211117194751 ACCESSION NUMBER: 0000899243-21-045169 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211115 FILED AS OF DATE: 20211117 DATE AS OF CHANGE: 20211117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FLATLEY JAY T CENTRAL INDEX KEY: 0001189130 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41042 FILM NUMBER: 211422186 MAIL ADDRESS: STREET 1: 9885 TOWNE CENTRE DR CITY: SAN DIEGO STATE: CA ZIP: 92121 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 2021-11-15 0 0001874178 Rivian Automotive, Inc. / DE RIVN 0001189130 FLATLEY JAY T C/O RIVIAN AUTOMOTIVE, INC. 14600 MYFORD ROAD IRVINE CA 92606 1 0 0 0 Class A Common Stock 2021-11-15 4 P 0 20000 78.00 A 52616 D /s/ Neil Sitron, Attorney-in-Fact 2021-11-17