0001837240-24-000065.txt : 20240306
0001837240-24-000065.hdr.sgml : 20240306
20240306062804
ACCESSION NUMBER: 0001837240-24-000065
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240301
FILED AS OF DATE: 20240306
DATE AS OF CHANGE: 20240306
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ford Rollin L.
CENTRAL INDEX KEY: 0001429247
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40175
FILM NUMBER: 24724312
MAIL ADDRESS:
STREET 1: 702 S.W. 8TH STREET
STREET 2: MAIL STOP # 0215
CITY: BENTONVILLE
STATE: AR
ZIP: 72716-0215
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Symbotic Inc.
CENTRAL INDEX KEY: 0001837240
STANDARD INDUSTRIAL CLASSIFICATION: GENERAL INDUSTRIAL MACHINERY & EQUIPMENT, NEC [3569]
ORGANIZATION NAME: 06 Technology
IRS NUMBER: 981572401
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0928
BUSINESS ADDRESS:
STREET 1: 200 RESEARCH DRIVE
CITY: WILMINGTON
STATE: MA
ZIP: 01887
BUSINESS PHONE: 978-284-2800
MAIL ADDRESS:
STREET 1: 200 RESEARCH DRIVE
CITY: WILMINGTON
STATE: MA
ZIP: 01887
FORMER COMPANY:
FORMER CONFORMED NAME: SVF Investment Corp. 3
DATE OF NAME CHANGE: 20210128
FORMER COMPANY:
FORMER CONFORMED NAME: SVF Investment III Corp.
DATE OF NAME CHANGE: 20201218
4
1
wk-form4_1709724477.xml
FORM 4
X0508
4
2024-03-01
0
0001837240
Symbotic Inc.
SYM
0001429247
Ford Rollin L.
C/O SYMBOTIC INC., 200 RESEARCH DRIVE
WILMINGTON
MA
01887
1
0
0
0
0
Class A Common Stock
2024-03-01
4
M
0
10447
A
10447
D
Class A Common Stock
8000
I
By Rollin L Ford Trust
Class A Common Stock
30000
I
By Spouse
Restricted Stock Units
2024-03-01
4
M
0
10447
0
D
Class A Common Stock
10447
0
D
Restricted Stock Units
2024-03-01
4
A
0
4060
0
A
Class A Common Stock
4060
4060
D
Restricted stock units convert into Class A common stock on a one-for-one basis.
Rollin Ford may be considered to have an indirect pecuniary interest in 30,000 shares of Class A Common Stock held directly by the RLF 2020 Gift Trust, in which Mr. Ford's wife acts as trustee and to which Mr. Ford's immediate family have a pecuniary interest. Rollin Ford does not have voting or investment control over the shares and disclaims beneficial ownership of the shares held by the RLF 2020 Gift Trust except to the extent that Mr. Ford may be considered to have an indirect pecuniary interest therein. This report shall not be deemed an admission that the Reporting Person is the beneficial owner of the shares held by the RLF 2020 Gift Trust for purposes of Section 16 or for any other purpose.
Each restricted stock unit represents a contingent right to receive one share of the Issuer's Class A common stock.
On March 1, 2023, the Reporting Person was granted 10,447 restricted stock units that vest in full upon the earliest of: (1) March 1, 2024, (2) the Issuer's 2024 Annual Meeting of Stockholders or (3) a change of control of the Issuer, subject to the Reporting Person's continued service with the Issuer on the vesting date.
The restricted stock units vest in full upon the earliest of: (1) March 1, 2025, (2) the Issuer's 2025 Annual Meeting of Stockholders or (3) a change of control of the Issuer, subject to the Reporting Person's continued service with the Issuer on the vesting date.
/s/ Corey Dufresne. Attorney-in-Fact
2024-03-05