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