0000899243-23-015971.txt : 20230620
0000899243-23-015971.hdr.sgml : 20230620
20230620161932
ACCESSION NUMBER: 0000899243-23-015971
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230615
FILED AS OF DATE: 20230620
DATE AS OF CHANGE: 20230620
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Daikeler Carl
CENTRAL INDEX KEY: 0001844701
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39735
FILM NUMBER: 231025371
MAIL ADDRESS:
STREET 1: C/O FOREST ROAD ACQUISITION CORP.
STREET 2: 1177 AVENUE OF THE AMERICAS, 5TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Beachbody Company, Inc.
CENTRAL INDEX KEY: 0001826889
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-NONSTORE RETAILERS [5960]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 400 CONTINENTAL BLVD
STREET 2: SUITE 400
CITY: EL SEGUNDO
STATE: CA
ZIP: 90245
BUSINESS PHONE: 3109850200
MAIL ADDRESS:
STREET 1: 400 CONTINENTAL BLVD
STREET 2: SUITE 400
CITY: EL SEGUNDO
STATE: CA
ZIP: 90245
FORMER COMPANY:
FORMER CONFORMED NAME: Forest Road Acquisition Corp.
DATE OF NAME CHANGE: 20201001
4
1
doc4.xml
FORM 4 SUBMISSION
X0407
4
2023-06-15
0
0001826889
Beachbody Company, Inc.
BODY
0001844701
Daikeler Carl
C/O THE BEACHBODY COMPANY, INC.
400 CONTINENTAL BLVD., SUITE 400
EL SEGUNDO
CA
90245
1
1
1
0
Chief Executive Officer
0
Class A Common Stock
2023-06-15
4
D
0
3199946
0.00
D
0
D
Class X Common Stock
2023-06-15
4
D
0
4800054
0.00
D
Class A Common Stock
4800054
128849560
I
By Trust
Represents the forfeiture of Class A Common Stock to the Issuer for no consideration, exempt under Rule 16b-3(e).
Represents the forfeiture of derivative securities to the Issuer for no consideration, exempt under Rule 16b-3(e) and exempt from Section 16b under Rule 16b-6(d) and exempt from the reporting requirements under Rule 16a-4(d). The Reporting Person is voluntarily reporting this transaction and reflecting updated holdings.
Each share of Class X Common Stock is convertible into one share of Class A Common Stock at the option of the Reporting Person, and will be automatically converted to one share of Class A Common Stock pursuant to the events specified in the Issuer's charter. The Class X Common Stock has no expiration date.
Held by the Carl Daikeler & Isabelle Brousseau Daikeler Revocable Trust.
/s/ Carl Daikeler
2023-06-20