Form 4 for IBTA Ibotta, Inc.
Accepted 2024-04-22 00:00:00 ET · period of report 2024-04-22 · accession 0001415889-24-011312 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| D | 2024-04-22 | 2024-04-22 | IBTA | CLARK JAMES H | 10% | C - Cnv Deriv | — | +5.76M | 5.76M | New | — |
| DM | 2024-04-22 | 2024-04-22 | IBTA | CLARK JAMES H | 10% | J - Other | — | 0 | 5.76M | New | — |
| DI | 2024-04-22 | 2024-04-22 | IBTA | CLARK JAMES H | 10% | P - Purchase | $88.00 | +568.2K | 568.2K | New | +$50.00M |
| DM | 2024-04-22 | 2024-04-22 | IBTA | CLARK JAMES H | 10% | C - Cnv Deriv | — | -5.76M | 0 | -100% | — |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock | 2024-04-22 | C | A | 5,762,457 | — | 5,762,457 | D | — | — | (F3) Each share of Series C-1 Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the IPO and had no expiration date. (F1) Each share of Series B Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock (the "IPO") and had no expiration date. (F2) Each share of Series C Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the IPO and had no expiration date. (F4) The shares are held by Clark Jermoluk Founders Fund I LLC, which is 95% owned by the JHC Family 2016 Trust (the "JHC Trust"). The JHC Trust is an entity controlled by James H. Clark. |
| 2 | Common | Common Stock | 2024-04-22 | J | D | 5,762,457 | — | 0 | D | — | — | (F5) Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was automatically reclassified into one share of Class A Common Stock immediately prior to the completion of the IPO. (F4) The shares are held by Clark Jermoluk Founders Fund I LLC, which is 95% owned by the JHC Family 2016 Trust (the "JHC Trust"). The JHC Trust is an entity controlled by James H. Clark. |
| 3 | Common | Class A Common Stock | 2024-04-22 | J | A | 5,762,457 | — | 5,762,457 | D | — | — | (F5) Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was automatically reclassified into one share of Class A Common Stock immediately prior to the completion of the IPO. (F4) The shares are held by Clark Jermoluk Founders Fund I LLC, which is 95% owned by the JHC Family 2016 Trust (the "JHC Trust"). The JHC Trust is an entity controlled by James H. Clark. |
| 4 | Common | Class A Common Stock | 2024-04-22 | P | A | 568,181 | $88.00 | 568,181 | I See footnote | — | — | (F6) The shares are held by Monaco Partners, L.P. ("Monaco Partners"). The general partner of Monaco Partners is Clark Ventures, which is wholly owned by the JHC Trust. The JHC Trust is an entity controlled by James H. Clark. |
| 5 | Derivative | Series C Preferred Stock | 2024-04-22 | C | D | 1,862,545 | — | 0 | D | — · — to — | 1,862,545 Common Stock | (F2) Each share of Series C Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the IPO and had no expiration date. |
| 6 | Derivative | Series B Preferred Stock | 2024-04-22 | C | D | 3,520,804 | — | 0 | D | — · — to — | 3,520,804 Common Stock | (F1) Each share of Series B Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock (the "IPO") and had no expiration date. |
| 7 | Derivative | Series C-1 Preferred Stock | 2024-04-22 | C | D | 379,108 | — | 0 | D | — · — to — | 379,108 Common Stock | (F3) Each share of Series C-1 Preferred Stock automatically converted into Common Stock on a 1:1 basis immediately prior to the completion of the IPO and had no expiration date. |