1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Class A Common Stock
|
Â
(1)(2)
|
Â
(1)(2)
|
Class B Common Stock
(2)
|
166,667
|
$
0
(1)
(2)
|
D
|
Â
|
Employee Stock Option (right to buy)
|
Â
(3)
|
07/11/2022 |
Class A Common Stock
(1)
(2)
|
46,500
|
$
1.09
|
D
|
Â
|
Employee Stock Option (right to buy)
|
Â
(3)
|
04/08/2023 |
Class A Common Stock
(1)
(2)
|
48,000
|
$
1.12
|
D
|
Â
|
Employee Stock Option (right to buy)
|
Â
(4)
|
03/12/2024 |
Class B Common Stock
|
450,000
|
$
16
|
D
|
Â
|
Class A Common Stock
|
Â
(1)(2)
|
Â
(1)(2)
|
Class B Common Stock
(2)
|
4,035,555
|
$
0
(1)
(2)
|
I
|
By living trust
(6)
|
Series A Convertible Preferred Stock
|
Â
(5)
|
Â
(5)
|
Class A Common Stock
(1)
(2)
|
25,923
|
$
0
(5)
|
I
|
By living trust
(6)
|
Series A-1 Convertible Preferred Stock
|
Â
(5)
|
Â
(5)
|
Class A Common Stock
(1)
(2)
|
126,854
|
$
0
(5)
|
I
|
By living trust
(6)
|
Series B Convertible Preferred Stock
|
Â
(5)
|
Â
(5)
|
Class A Common Stock
(1)
(2)
|
3,604
|
$
0
(5)
|
I
|
By living trust
(6)
|
Series C Convertible Preferred Stock
|
Â
(5)
|
Â
(5)
|
Class A Common Stock
(1)
(2)
|
62,920
|
$
0
(5)
|
I
|
By living trust
(6)
|
Class A Common Stock
|
Â
(1)(2)
|
Â
(1)(2)
|
Class B Common Stock
(2)
|
600,000
|
$
0
(1)
(2)
|
I
|
By grantor retained annuity trust 1
(7)
|
Class A Common Stock
|
Â
(1)(2)
|
Â
(1)(2)
|
Class B Common Stock
(2)
|
250,000
|
$
0
(1)
(2)
|
I
|
By grantor retained annuity trust 2
(7)
|
Class A Common Stock
|
Â
(1)(2)
|
Â
(1)(2)
|
Class B Common Stock
(2)
|
600,000
|
$
0
(1)
(2)
|
I
|
By grantor retained annuity trust 3
(8)
|
Class A Common Stock
|
Â
(1)(2)
|
Â
(1)(2)
|
Class B Common Stock
(2)
|
250,000
|
$
0
(1)
(2)
|
I
|
By grantor retained annuity trust 4
(8)
|
* |
If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) |
Each share of Class A Common Stock is convertible, at any time at the option of the holder, into one (1) share of Class B Common Stock. In addition, pursuant to the Issuer's Restated Certificate of Incorporation (the "Post-Effective Certificate") that will be effective upon the consummation of the Issuer's initial public offering of its Class B Common Stock (the "IPO"), each share of Class A Common Stock will convert automatically into one (1) share of Class B Common Stock upon the transfer, whether or not for value, that occurs after the closing of the Issuer's IPO to any transferee who is not a "Permitted Transferee", as defined in the Issuer's Post-Effective Certificate. The shares of Class A Common Stock have no expiration date. |
(2) |
Pursuant to the Post-Effective Certificate, each share of the Issuer's Class A Common Stock will convert automatically into one (1) share of Class B Common Stock upon the earliest to occur of the following: (a) the first date on which the number of shares of Class A Common Stock then outstanding falls below twenty percent of the number of shares of Class A common stock outstanding as of the closing of the IPO, (b) the ten year anniversary of the closing of the IPO, or (c) a time and date approved in writing by holders of at least a majority of the then-outstanding shares of Class A Common Stock. The shares of Class A Common Stock and Class B Common Stock have no expiration date. |
(3) |
The stock option has fully vested and is immediately exercisable. |
(4) |
The stock option vests in 48 equal monthly installments beginning one month after the vesting commencement date, until such time as the option is 100% vested, subject to the continuing employment of the Reporting Person on each vesting date. |
(5) |
Each share of Convertible Preferred Stock will be automatically converted into one (1) share of Class A Common Stock immediately prior to the consummation of the IPO, and has no expiration date. |
(6) |
Reporting Person serves as a co-trustee. |
(7) |
Reporting Person serves as trustee and sole beneficiary. |
(8) |
Reporting Person's spouse serves as trustee and sole beneficiary. |