0001209191-22-031721.txt : 20220524 0001209191-22-031721.hdr.sgml : 20220524 20220524183809 ACCESSION NUMBER: 0001209191-22-031721 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220523 FILED AS OF DATE: 20220524 DATE AS OF CHANGE: 20220524 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brown Timothy O. CENTRAL INDEX KEY: 0001883574 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40963 FILM NUMBER: 22958438 MAIL ADDRESS: STREET 1: C/O ALLBIRDS, INC. STREET 2: 730 MONTGOMERY STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Timothy O. Brown & Lindsay T. Brown, as Trustees of the Grenadier Trust Under Revocable Trust Agreement Dated January 22, 2018 CENTRAL INDEX KEY: 0001885485 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40963 FILM NUMBER: 22958437 BUSINESS ADDRESS: STREET 1: C/O ALLBIRDS, INC. STREET 2: 730 MONTGOMERY STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: (628) 225-4848 MAIL ADDRESS: STREET 1: C/O ALLBIRDS, INC. STREET 2: 730 MONTGOMERY STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Allbirds, Inc. CENTRAL INDEX KEY: 0001653909 STANDARD INDUSTRIAL CLASSIFICATION: APPAREL & OTHER FINISHED PRODS OF FABRICS & SIMILAR MATERIAL [2300] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 730 MONTGOMERY STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: 888-963-8944 MAIL ADDRESS: STREET 1: 730 MONTGOMERY STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94111 FORMER COMPANY: FORMER CONFORMED NAME: Bozz, Inc. DATE OF NAME CHANGE: 20150923 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-05-23 0 0001653909 Allbirds, Inc. BIRD 0001883574 Brown Timothy O. C/O ALLBIRDS, INC. 730 MONTGOMERY STREET SAN FRANCISCO CA 94111 1 1 1 0 Co-Chief Executive Officer 0001885485 Timothy O. Brown & Lindsay T. Brown, as Trustees of the Grenadier Trust Under Revocable Trust Agreement Dated January 22, 2018 C/O ALLBIRDS, INC. 730 MONTGOMERY STREET SAN FRANCISCO CA 94111 0 0 1 0 Stock Option (Right to Buy) 4.68 2022-05-23 4 A 0 911162 0.00 A 2032-05-22 Class A Common Stock 911162 911162 D 1/4 of the shares underlying the option shall vest on the one-year anniversary of June 1, 2022, and the remaining shares underlying the option shall vest in a series of 36 successive equal monthly installments thereafter, in each case subject to the Reporting Person's Continuous Service (as defined in the Issuer's 2021 Equity Incentive Plan) through the applicable vesting date. Timothy O. Brown, by /s/ Ron A. Metzger, Attorney-in-Fact 2022-05-24 The Grenadier Trust Under Revocable Trust Agreement Dated January 22, 2018, by Timothy O. Brown, Co-Trustee, by /s/ Ron A. Metzger, Attorney-in-Fact 2022-05-24