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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Class A Shares in Virgin Group Acquisition Holdings II LLC | (3) | 06/16/2022 | J(2)(3) | 5,000 | (1) | (1) | Class B Common Stock | 73,314 | $ 0 | 0 | D | ||||
Class A Shares in Virgin Group Acquisition Holdings II LLC | (3) | 06/16/2022 | J(2)(3) | 5,000 | (1) | (1) | Class A Common Stock | 73,314 | $ 0 | 5,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Arif Rayhan C/O GROVE COLLABORATIVE HOLDINGS, INC. 1301 SANSOME STREET SAN FRANCISCO, CA 94111 |
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/s/ Barbara Wallace, Attorney-in-Fact for Rayhan Arif | 06/21/2022 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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) | The Reporting Person owns Class A Shares in Virgin Group Acquisition Holdings II LLC, a Delaware limited liability company ("Holdings"). Holdings holds an economic interest in Virgin Group Acquisition Sponsor II LLC, a Cayman Islands limited liability company (the "Sponsor"). The Class A Shares in Holdings represent an indirect economic entitlement to the proceeds attributable to holdings of the Sponsor, including holdings of the Issuer. The Class A Shares in Holdings have no expiration date. |
(2) | In connection with the mergers (the "Business Combination") contemplated by the Agreement and Plan of Merger, dated December 7, 2021, as amended and restated on March 31, 2022, (the "Merger Agreement") by and among Virgin Group Acquisition Corp. II, a Cayman Islands exempted company ("VGAC II"), Treehouse Merger Sub, Inc., a Delaware corporation and wholly owned direct subsidiary of VGAC II ("VGAC II Merger Sub I"), Treehouse Merger Sub II, LLC, a Delaware limited liability company and wholly owned direct subsidiary of VGAC II ("VGAC II Merger Sub II"), and Grove Collaborative, Inc., a Delaware public benefit corporation ("Grove"), VGAC II became a Delaware corporation and was renamed Grove Collaborative Holdings, Inc. Upon closing of the Business Combination, each Class B ordinary share of VGAC II was converted into one share of Class A Common Stock of Grove Collaborative Holdings, Inc. |
(3) | This Form 4 is being filed to reflect that, upon closing of the Business Combination, the shares held directly by the Sponsor, in which the Reporting Person has an indirect economic interest through Holdings, converted from Class B Shares of VGAC II to Class A Common Stock of Grove Collaborative Holdings, Inc. There was no change in the number of Class A Shares of Holdings held by the Reporting Person, and no consideration was paid by the Reporting Person or Holdings in connection with this conversion. |
Remarks: Exhibit List: Exhibit 24 - Power of Attorney |