0001209191-23-039128.txt : 20230622
0001209191-23-039128.hdr.sgml : 20230622
20230622170610
ACCESSION NUMBER: 0001209191-23-039128
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230620
FILED AS OF DATE: 20230622
DATE AS OF CHANGE: 20230622
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FORST EDWARD C
CENTRAL INDEX KEY: 0001280491
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40125
FILM NUMBER: 231034109
MAIL ADDRESS:
STREET 1: 85 BROAD STREET
CITY: NEW YORK
STATE: NY
ZIP: 10004
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Local Bounti Corporation/DE
CENTRAL INDEX KEY: 0001840780
STANDARD INDUSTRIAL CLASSIFICATION: AGRICULTURE PRODUCTION - CROPS [0100]
IRS NUMBER: 981584830
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 400 W. MAIN ST.
CITY: HAMILTON
STATE: MT
ZIP: 59840
BUSINESS PHONE: 406-361-3711
MAIL ADDRESS:
STREET 1: 400 W. MAIN ST.
CITY: HAMILTON
STATE: MT
ZIP: 59840
FORMER COMPANY:
FORMER CONFORMED NAME: Leo Holdings III Corp.
DATE OF NAME CHANGE: 20210115
4
1
doc4.xml
FORM 4 SUBMISSION
X0407
4
2023-06-20
0
0001840780
Local Bounti Corporation/DE
LOCL
0001280491
FORST EDWARD C
C/O LOCAL BOUNTI CORPORATION
400 W. MAIN ST.
HAMILTON
MT
59840
1
0
0
0
0
Common Stock
2023-06-20
4
A
0
21237
0.00
A
77406
D
Common Stock
55911
I
By Forst GST LLC
Common Stock
36499
I
By Wellfor LLC
Warrants to purchase Common Stock
149.50
2021-12-19
2026-11-19
Common Stock
38076
495000
D
Warrants to purchase Common Stock
149.50
2021-12-19
2026-11-19
Common Stock
39304
510952
I
By Forst GST LLC
Warrants to purchase Common Stock
149.50
2021-12-03
2026-11-19
Common Stock
1685
21912
D
The restricted stock units will vest on the earlier of (1) the day before Local Bounti Corporation's (the "Issuer") next annual stockholders' meeting or (2) June 20, 2024, subject to the Reporting Person's continued service.
Effective on June 15, 2023, the Issuer effected a 1 to 13 reverse stock split of its common stock (the "Reverse Stock Split"). The amount of securities reported on this Form 4 has been adjusted to reflect the Reverse Stock Split.
The exercise price and amount of common stock underlying the warrants after exercise take into account the Reverse Stock Split.
/s/ Kathleen Valiasek, as Attorney-in-Fact for Edward C. Forst
2023-06-22