SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Virgin Group Acquisition Sponsor II LLC

(Last) (First) (Middle)
C/O VIRGIN GROUP ACQUISITION CORP. II
65 BLEECKER STREET, 6TH FLOOR

(Street)
NEW YORK NY 10012

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Grove Collaborative Holdings, Inc. [ GROV ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
06/16/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 06/16/2022 C 9,972,500(1) A $0(1) 9,972,500 D(5)(7)(8)
Class A Common Stock 06/16/2022 P 2,750,000(2) A $0(2) 12,722,500 D(6)(7)(8)
Class A Common Stock 06/16/2022 P 1,671,524(3) A $10 14,394,024 D(6)(7)(8)
Class A Common Stock 06/16/2022 P 5,000,000(4) A $10 19,394,024 D(6)(7)(8)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Ordinary Shares (1) 06/16/2022 C 10,062,500 (1) (1) Class A Common Stock 9,972,500 (1) 0 D(5)(7)(8)
Warrants $0.01 06/16/2022 P 3,875,028(3) 06/16/2022 06/16/2027 Class A Common Stock 3,875,028 $0.01 3,875,028 D(6)(7)(8)
Warrants $11.5 06/16/2022 P 6,700,000(9) 07/16/2022 06/16/2027 Class A Common Stock 6,700,000 $1.5 6,700,000 D(5)(7)(8)
1. Name and Address of Reporting Person*
Virgin Group Acquisition Sponsor II LLC

(Last) (First) (Middle)
C/O VIRGIN GROUP ACQUISITION CORP. II
65 BLEECKER STREET, 6TH FLOOR

(Street)
NEW YORK NY 10012

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Corvina Holdings LTD

(Last) (First) (Middle)
CRAIGMUIR CHAMBERS
ROAD TOWN, TORTOLA

(Street)
BRITISH VIRGIN ISLANDS D8 VG1110

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Virgin Group Holdings LTD

(Last) (First) (Middle)
CRAIGMUIR CHAMBERS
ROAD TOWN, TORTOLA

(Street)
BRITISH VIRGIN ISLANDS D8 VG1110

(City) (State) (Zip)
1. Name and Address of Reporting Person*
VIECO INVESTMENTS LTD

(Last) (First) (Middle)
CRAIGMUIR CHAMBERS
ROAD TOWN, TORTOLA

(Street)
BRITISH VIRGIN ISLANDS D8 VG1110

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Branson Sir Richard

(Last) (First) (Middle)
BRANSON VILLA
NECKER BEACH ESTATE, NECKER ISLAND

(Street)
BRITISH VIRGIN ISLANDS D8 VG1150

(City) (State) (Zip)
Explanation of Responses:
1. Represents Class B ordinary shares held by the Reporting Person that automatically converted into shares of Class A Common Stock (the "Shares") in connection with the redomestication of the Issuer from Cayman Islands to Delaware public benefit corporation in connection with the closing of the business combination of Issuer and Grove Collaborative, Inc. on June 16, 2022 (the "Transaction"). Following the initial grant of Class B ordinary shares, but on or prior to the closing of the Transaction, the ratio of Class B ordinary shares to Shares was adjusted to ensure that the Reporting Person received the same ownership percentage in Issuer following the closing of the Transaction.
2. Represents shares in Grove Collaborative Inc. that were exchanged for Shares in connection with the closing of the Transaction.
3. Acquired through private placement transaction. In addition to the Shares, the Reporting Person acquired the private placement warrants, each exercisable to purchase one Share at $0.01 per Share.
4. Acquired through private placement transaction.
5. Virgin Group Acquisition Sponsor II LLC, a Cayman Islands limited liability company, is the record holder of these Shares. Corvina Holdings Limited, a British Virgin Islands exempted company ("Corvina"), is the sole managing member and manager of Virgin Group Acquisition Sponsor II LLC and holds an economic interest therein. Corvina Holdings Limited is wholly owned by Virgin Group Holdings Limited.
6. Corvina Holdings Limited is the record holder of these Shares.
7. Virgin Group Holdings Limited is owned by Sir Richard Branson, and he has the ability to appoint and remove the management of Virgin Group Holdings Limited and, as such, may indirectly control the decisions of Virgin Group Holdings Limited, regarding the voting and disposition of securities held by Virgin Group Holdings Limited. Therefore, Sir Richard Branson may be deemed to have indirect beneficial ownership of the Shares held by Virgin Group Acquisition Sponsor II LLC. Each of Corvina Holdings Limited, Virgin Group Holdings Limited and Sir Richard Branson disclaims beneficial ownership of the Shares except to the extent of its or his pecuniary interest therein.
8. Vieco Investments Ltd., a British Virgin Islands exempted company, holds an economic interest in Virgin Group Acquisition Sponsor II LLC. Vieco Investments Ltd. is owned by Sir Richard Branson, and he has the ability to appoint and remove the management of Vieco Investments Ltd. and, as such, may indirectly control the decisions of Vieco Investments Ltd., regarding the voting and disposition of securities held by Vieco Investments Ltd. Therefore, Sir Richard Branson may be deemed to have indirect beneficial ownership of the Shares held by Virgin Group Acquisition Sponsor II LLC. Each of Vieco Investments Ltd. and Sir Richard Branson disclaims beneficial ownership of the Shares except to the extent of its or his pecuniary interest therein.
9. Represents warrants that were converted in connection with the closing of the Transaction to purchase one Share at $11.50 per Share. The warrants were purchased as private placement warrants at $1.50 per Share with an exercise price of $11.50 per Share.
VG Acquisition Sponsor II LLC, By: James Cahillane, as attorney-in-fact 06/21/2022
Corvina Holdings Limited, By: Harold Brunink, as attorney-in-fact 06/21/2022
Virgin Group Holdings Limited, By: Harold Brunink, as attorney-in-fact 06/21/2022
Vieco Investments Ltd. By: Harold Brunink, as attorney-in-fact 06/21/2022
Sir Richard Branson, By: Harold Brunink, as attorney-in-fact 06/21/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.