0001835830-24-000011.txt : 20240220
0001835830-24-000011.hdr.sgml : 20240220
20240220212351
ACCESSION NUMBER: 0001835830-24-000011
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240215
FILED AS OF DATE: 20240220
DATE AS OF CHANGE: 20240220
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Whalen Amanda
CENTRAL INDEX KEY: 0001991131
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41806
FILM NUMBER: 24656177
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/A
1
wk-form4a_1708482199.xml
FORM 4/A
X0508
4/A
2024-02-15
2024-02-16
0
0001835830
Klaviyo, Inc.
KVYO
0001991131
Whalen Amanda
C/O KLAVIYO, INC.
125 SUMMER STREET, 6TH FLOOR
BOSTON
MA
02110
0
1
0
0
Chief Financial Officer
0
Series A Common Stock
2024-02-15
4
C
0
18856
A
212560
D
Series A Common Stock
2024-02-15
4
F
0
25275
29.71
D
187285
D
Series B Common Stock
2024-02-15
4
C
0
18856
0
D
Series A Common Stock
18856
704830
D
Represents 18,856 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 25,275 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) 19,285 shares of Series A Common Stock and (ii) 168,000 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.
Consists of (i) 178,788 shares of Series B Common Stock and (ii) 526,042 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.
This amendment amends and restates the Form 4 originally filed on February 16, 2024 to correct the number of shares converted by, and withheld from, the Reporting Person in connection with tax withholding obligations associated with the vesting of RSUs.
/s/ Landon Edmond, Attorney-in-Fact
2024-02-20