0000899243-22-003057.txt : 20220124
0000899243-22-003057.hdr.sgml : 20220124
20220124182950
ACCESSION NUMBER: 0000899243-22-003057
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220120
FILED AS OF DATE: 20220124
DATE AS OF CHANGE: 20220124
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boone Karen
CENTRAL INDEX KEY: 0001561290
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41042
FILM NUMBER: 22550664
MAIL ADDRESS:
STREET 1: 15 KOCH ROAD
STREET 2: SUITE J
CITY: CORTE MADERA
STATE: CA
ZIP: 94925
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Rivian Automotive, Inc. / DE
CENTRAL INDEX KEY: 0001874178
STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 14600 MYFORD ROAD
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: (888) 748-4261
MAIL ADDRESS:
STREET 1: 14600 MYFORD ROAD
CITY: IRVINE
STATE: CA
ZIP: 92618
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-01-20
0
0001874178
Rivian Automotive, Inc. / DE
RIVN
0001561290
Boone Karen
C/O RIVIAN AUTOMOTIVE, INC.
14600 MYFORD ROAD
IRVINE
CA
92606
1
0
0
0
Class A Common Stock
2022-01-20
4
A
0
144
0.00
A
20353
D
Class A Common Stock
65000
I
See footnote
Class A Common Stock
65000
I
See footnote
Represents an award of 144 restricted stock units, which vested on January 20, 2022. The Reporting Person has elected to defer the issuance of the shares of the Issuer's Class A Common Stock underlying the restricted stock units until the Reporting Person's termination of service as a director of the Issuer. The restricted stock units will settle in shares of the Issuer's Class A Common Stock upon such termination of service.
By The Andrew J. Boone 2021 Grantor Retained Annuity Trust under Irrevocable Trust Agreement dated September 24, 2021.
By The Karen L. Boone 2021 Grantor Retained Annuity Trust under Irrevocable Trust Agreement dated September 24, 2021.
/s/ Neil Sitron, Attorney-in-Fact
2022-01-24