0001209191-23-039524.txt : 20230623
0001209191-23-039524.hdr.sgml : 20230623
20230623190020
ACCESSION NUMBER: 0001209191-23-039524
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230621
FILED AS OF DATE: 20230623
DATE AS OF CHANGE: 20230623
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: 231039081
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
X0407
4
2023-06-21
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
0
Class A Common Stock
2023-06-21
4
A
0
18208
0.00
A
52938
D
Class A Common Stock
113570
I
See footnote
Class A Common Stock
8215
I
See footnote
Class A Common Stock
8215
I
See footnote
Represents an award of 18,208 restricted stock units ("RSUs") which will vest on the first anniversary of the grant date. The Reporting Person has elected to defer the issuance of the shares of the Issuer's Class A Common Stock underlying the RSUs until the Reporting Person's termination of service as a director of the Issuer. The RSUs will settle in shares of the Issuer's Class A Common Stock upon such termination of service.
By The Boone Family Trust dated August 6, 2015.
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/ Claire McDonough, Attorney-in-Fact
2023-06-23