0001835830-24-000006.txt : 20240216
0001835830-24-000006.hdr.sgml : 20240216
20240216164910
ACCESSION NUMBER: 0001835830-24-000006
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240215
FILED AS OF DATE: 20240216
DATE AS OF CHANGE: 20240216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Edmond Landon
CENTRAL INDEX KEY: 0001991399
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41806
FILM NUMBER: 24649135
MAIL ADDRESS:
STREET 1: KLAVIYO, INC.
STREET 2: 125 SUMMER STREET, 6TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02110
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Klaviyo, Inc.
CENTRAL INDEX KEY: 0001835830
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
ORGANIZATION NAME: 06 Technology
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 125 SUMMER STREET, FLOOR 6
CITY: BOSTON
STATE: MA
ZIP: 02110
BUSINESS PHONE: 800-338-1744
MAIL ADDRESS:
STREET 1: 125 SUMMER STREET, FLOOR 6
CITY: BOSTON
STATE: MA
ZIP: 02110
4
1
wk-form4_1708120138.xml
FORM 4
X0508
4
2024-02-15
0
0001835830
Klaviyo, Inc.
KVYO
0001991399
Edmond Landon
C/O KLAVIYO, INC. 125 SUMMER STREET
6TH FLOOR
BOSTON
MA
02110
0
1
0
0
Chief Legal Officer
0
Series A Common Stock
2024-02-15
4
C
0
13305
A
195227
D
Series A Common Stock
2024-02-15
4
F
0
17470
29.71
D
177757
D
Series B Common Stock
2024-02-15
4
C
0
13305
0
D
Series A Common Stock
13305
348497
D
Represents 13,305 shares of Series B Common Stock, par value $0.001 per share ("Series B Common Stock"), automatically converted into Series A Common Stock, par value $0.001 per share ("Series A Common Stock"), and 17,470 shares of Series A Common Stock subsequently withheld by the Issuer to satisfy tax withholding obligations in connection with the vesting and settlement of restricted stock units ("RSUs").
Each share of Series B Common Stock is convertible at any time at the option of the holder into one share of Series A Common Stock of the Issuer, and will automatically convert into Series A Common Stock upon the occurrence of certain events as set forth in the Issuer's certificate of incorporation. The Series B Common Stock has no expiration date.
Consists of (i) 12,757 shares of Series A Common Stock and (ii) 165,000 unvested RSUs awarded under the 2023 Stock Incentive Plan, each representing the contingent right to receive one share of Series A Common Stock upon vesting and settlement.
Amount consists of (a) 152,346 shares of Series B Common Stock and (b) 196,151
unvested RSUs awarded under the 2015 Stock Incentive Plan, each representing the contingent right to receive one share of Series B Common Stock upon vesting and settlement.
/s/ Landon Edmond
2024-02-16