0000899243-20-026320.txt : 20200925 0000899243-20-026320.hdr.sgml : 20200925 20200925153055 ACCESSION NUMBER: 0000899243-20-026320 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200925 FILED AS OF DATE: 20200925 DATE AS OF CHANGE: 20200925 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Danone Manifesto Ventures, PBC CENTRAL INDEX KEY: 0001823867 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39537 FILM NUMBER: 201199670 BUSINESS ADDRESS: STREET 1: 12 WEST 21ST STREET STREET 2: 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10010 BUSINESS PHONE: (914) 343-5431 MAIL ADDRESS: STREET 1: 12 WEST 21ST STREET STREET 2: 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10010 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Danone S.A. CENTRAL INDEX KEY: 0001825471 STATE OF INCORPORATION: I0 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39537 FILM NUMBER: 201199671 BUSINESS ADDRESS: STREET 1: 17, BOULEVARD HAUSSMANN CITY: PARIS STATE: I0 ZIP: 75009 BUSINESS PHONE: 33 1 4435 2020 MAIL ADDRESS: STREET 1: 17, BOULEVARD HAUSSMANN CITY: PARIS STATE: I0 ZIP: 75009 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Laird Superfood, Inc. CENTRAL INDEX KEY: 0001650696 STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000] IRS NUMBER: 474373641 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 275 W. LUNDGREN MILL DR. CITY: SISTERS STATE: OR ZIP: 97759 BUSINESS PHONE: (541) 548-0577 MAIL ADDRESS: STREET 1: 275 W. LUNDGREN MILL DR. CITY: SISTERS STATE: OR ZIP: 97759 FORMER COMPANY: FORMER CONFORMED NAME: Laird Superfood, LLC DATE OF NAME CHANGE: 20150811 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-09-25 1 0001650696 Laird Superfood, Inc. LSF 0001823867 Danone Manifesto Ventures, PBC 12 WEST 21ST STREET, 12TH FLOOR NEW YORK NY 10010 0 0 1 0 0001825471 Danone S.A. 17 BOULEVARD HAUSSMANN 75009 PARIS I0 FRANCE 0 0 1 0 Common Stock 2020-09-25 4 C 0 766284 A 766284 I See Explanation of Responses Common Stock 2020-09-25 4 P 0 90910 22.00 A 857194 I See Explanation of Responses Series B-1 Preferred Stock 2020-09-25 4 C 0 383142 D Common Stock 766284 0 I See Explanation of Responses Upon the closing of the Company's initial public offering, all shares of Series B-1 Preferred Stock automatically converted into shares of Common Stock of the Company on a one-to-two basis. The Series B-1 Preferred Stock had no expiration date. Danone Manifesto Ventures, PBC is the direct holder of the securities reflected in this Form 4. Danone Manifesto Ventures, PBC is a wholly owned subsidiary of Danone North America Public Benefit Corporation, which is a wholly owned subsidiary of Compagnie Gervais Danone S.A., which is a wholly owned subsidiary of Danone S.A. Danone S.A. is an indirect beneficial owner of the reported securities. Represents shares purchased in a private placement that closed concurrently with the Company's initial public offering. /s/ Laurent Marcel, Danone Manifesto Ventures, PBC 2020-09-25 /s/ Cecile Cabanis, Danone S.A. 2020-09-25