0001127602-23-027891.txt : 20231117 0001127602-23-027891.hdr.sgml : 20231117 20231117175114 ACCESSION NUMBER: 0001127602-23-027891 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231115 FILED AS OF DATE: 20231117 DATE AS OF CHANGE: 20231117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cervantes Sergio CENTRAL INDEX KEY: 0001930565 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40263 FILM NUMBER: 231420215 MAIL ADDRESS: STREET 1: C/O GROVE COLLABORATIVE 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 2023-11-15 0001841761 Grove Collaborative Holdings, Inc. GROV 0001930565 Cervantes Sergio C/O GROVE COLLABORATIVE HOLDINGS, INC. 1301 SANSOME STREET SAN FRANCISCO CA 94111 1 Chief Financial Officer 0 Class A Common Stock 2023-11-15 4 M 0 8820 A 107549 D Class A Common Stock 2023-11-15 4 F 0 3899 1.95 D 103650 D Class A Common Stock 2023-11-15 4 M 0 31209 A 134859 D Class A Common Stock 2023-11-15 4 F 0 13795 1.95 D 121064 D Class A Common Stock 2023-11-15 4 M 0 4000 A 125064 D Class A Common Stock 2023-11-15 4 F 0 1768 1.95 D 123296 D Restricted Stock Units 2023-11-15 4 M 0 8820 D Class A Common Stock 8820 88203 D Restricted Stock Units 2023-11-15 4 M 0 31209 D Class A Common Stock 31209 218470 D Restricted Stock Units 2023-11-15 4 M 0 4000 D Class A Common Stock 4000 28000 D Each restricted stock unit ("RSU") represents a contingent right to receive one share of class A Common Stock These shares were retained by the Company in order to meet the tax withholding obligations of the award-holder in connection with the vesting of an installment of the restricted stock award. The amount retained by the Company was not in excess of the amount of the tax liability. These RSUs vest 25% on May 15, 2023, and then in quarterly installments for the next 36 months, with accelerated vesting following a change in control if the Reporting Person's services are terminated by the Issuer without cause or he resigns for good reason. The RSUs have no expiration date. 1/10th of the shares subject to the Award shall vest on each of the Company's Standard Quarterly Vesting Dates (February 15th, May 15th, August 15th and November 15th of each year; provided, that if such date occurs on a weekend or federal holiday, vesting shall occur on the next business day) beginning on May 15, 2023. /s/Barbara Wallace, Attorney-in-Fact for Sergio Cervantes 2023-11-17