0001127602-23-020760.txt : 20230717 0001127602-23-020760.hdr.sgml : 20230717 20230717105343 ACCESSION NUMBER: 0001127602-23-020760 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230713 FILED AS OF DATE: 20230717 DATE AS OF CHANGE: 20230717 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cleary Kevin Michael CENTRAL INDEX KEY: 0001952022 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40263 FILM NUMBER: 231090843 MAIL ADDRESS: STREET 1: C/O GROVE COLLABORATIVE HOLDINGS, INC. STREET 2: 1301 SANSOME STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94111 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 PRIMARY DOCUMENT X0508 4 2023-07-13 0001841761 Grove Collaborative Holdings, Inc. GROV 0001952022 Cleary Kevin Michael C/O GROVE COLLABORATIVE HOLDINGS, INC. 1301 SANSOME STREET SAN FRANCISCO CA 94111 1 0 Class A Common Stock 41241 D Restricted Stock Units 2023-07-13 4 A 0 32222 A Class A Common Stock 32222 32222 D On June 5, the common stock of Grove Collaborative Holdings, Inc. reverse split 1-for-5, resulting in a decrease of 164,968 shares in the reporting person's ownership of common stock. Each restricted stock unit ("RSU") represents a contingent right to receive one share of class A Common Stock These RSUs will fully vest on the earlier of May 15, 2024 or the date of the 2024 Annual Meeting of Stockholders. The RSUs have no expiration date. /s/ Barbara Wallace, Attorney-in-Fact for Kevin Cleary 2023-07-17