0001315098-23-000012.txt : 20230209 0001315098-23-000012.hdr.sgml : 20230209 20230209171754 ACCESSION NUMBER: 0001315098-23-000012 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230209 DATE AS OF CHANGE: 20230209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Baszucki David CENTRAL INDEX KEY: 0001834991 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39763 FILM NUMBER: 23607386 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_167598105487665.xml FORM 5 X0306 5 2022-12-31 0 0 0 0001315098 Roblox Corp RBLX 0001834991 Baszucki David C/O ROBLOX CORPORATION 970 PARK PLACE SAN MATEO CA 94403 1 1 1 0 President & CEO Class A Common Stock 2022-05-27 5 G 0 568529 0 D 543971 I See Footnote Class A Common Stock 750000 I See Footnote Class A Common Stock 375000 I See Footnote Class A Common Stock 1 D The shares reported in this transaction represent a gift to a charitable organization. These shares are held directly by The Freedom Revocable Trust dated February 28, 2017 as amended, and for which the reporting person serves as trustee. These shares are held by the 2020 Jan Baszucki Gift Trust dtd 12/31/2018 of which the Bessemer Trust Company of Delaware, N.A. serves as trustee. The spouse of the Reporting Person may be deemed to have beneficial ownership of the securities held by the Gift Trust. These shares are held by the 2020 David Baszucki Gift Trust dtd 12/31/2018 for which the Bessemer Trust of Delaware, N.A. serves as trustee. The Reporting Person may be deemed to have beneficial ownership of the securities held by the Gift Trust. /s/ Mark Reinstra Attorney-in-Fact for David Baszucki 2023-02-09