0001140361-22-041966.txt : 20221116 0001140361-22-041966.hdr.sgml : 20221116 20221116203231 ACCESSION NUMBER: 0001140361-22-041966 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221114 FILED AS OF DATE: 20221116 DATE AS OF CHANGE: 20221116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Glazer David A. CENTRAL INDEX KEY: 0001823940 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40263 FILM NUMBER: 221396647 MAIL ADDRESS: STREET 1: C/O PALANTIR TECHNOLOGIES INC. STREET 2: 1200 17TH STREET, FLOOR 15 CITY: DENVER STATE: CO ZIP: 80202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Grove Collaborative Holdings, Inc. CENTRAL INDEX KEY: 0001841761 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 882840659 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1301 SANSOME STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: (800) 231-8527 MAIL ADDRESS: STREET 1: 1301 SANSOME STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94111 FORMER COMPANY: FORMER CONFORMED NAME: Virgin Group Acquisition Corp. II DATE OF NAME CHANGE: 20210122 4 1 form4.xml X0306 4 2022-11-14 0001841761 Grove Collaborative Holdings, Inc. GROV 0001823940 Glazer David A. C/O GROVE COLLABORATIVE HOLDINGS, INC. 1301 SANSOME STREET SAN FRANCISCO CA 94111 true Restricted Stock Units 2022-11-14 4 C 0 156805 0 D Class B Common Stock 156805 0 D Restricted Stock Units 2022-11-14 4 C 0 156805 0 A Class A Common Stock 156805 156805 D Each restricted stock unit ("RSU") represents a contingent right to receive one share of Class A Common Stock. These RSUs vest 25% on November 15, 2022, and then in quarterly installments for the next 36 months. The RSUs have no expiration date. The Reporting Person elected to convert these RSUs from Class B Common Stock to Class A Common Stock. /s/ Barbara Wallace, Attorney-in-Fact for David Glazer 2022-11-16