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