0001315098-22-000016.txt : 20220211 0001315098-22-000016.hdr.sgml : 20220211 20220211184221 ACCESSION NUMBER: 0001315098-22-000016 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220211 DATE AS OF CHANGE: 20220211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carvalho Christopher CENTRAL INDEX KEY: 0001834989 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39763 FILM NUMBER: 22623556 MAIL ADDRESS: STREET 1: 970 PARK PLACE CITY: SAN MATEO STATE: CA ZIP: 94403 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Roblox Corp CENTRAL INDEX KEY: 0001315098 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 200991664 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 970 PARK PLACE CITY: SAN MATEO STATE: CA ZIP: 94403 BUSINESS PHONE: (888) 858-2569 MAIL ADDRESS: STREET 1: 970 PARK PLACE CITY: SAN MATEO STATE: CA ZIP: 94403 5 1 wf-form5_164462291432092.xml FORM 5 X0306 5 2021-12-31 0 0 0 0001315098 Roblox Corp RBLX 0001834989 Carvalho Christopher C/O ROBLOX CORPORATION 970 PARK PLACE SAN MATEO CA 94403 1 0 0 0 Class A Common Stock 2021-11-26 5 G 0 40000 0 D 1231957 D Class A Common Stock 160968 I See Footnotes Represents a transfer of shares to a Donor Advised Fund. These shares are held directly by the Christopher P. Carvalho Revocable Trust dated October 11, 2017 for which the reporting person serves as trustee. The reporting person may be deemed to have beneficial ownership of the shares held by the trust. /s/Mark Reinstra Attorney-in-Fact for Christopher Carvalho 2022-02-11