SEC Form 4: Dunn Michael David converted options into 250,970 shares and covered exercise/tax liability with 99,439 shares, increasing direct ownership by 105% to 296,470 units
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Business Services
Finance
| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Symbotic Inc. [ SYM ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 01/01/2023 | ||||||||||||||||||||||||||
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4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| Code | V | Amount | (A) or (D) | Price | ||||||
| Class A Common Stock | 01/01/2023 | M | 99,156 | A | (1) | 244,095 | D | |||
| Class A Common Stock | 01/01/2023 | F | 39,699 | D | $11.94 | 204,396 | D | |||
| Class A Common Stock | 01/01/2023 | M | 15,333 | A | (1) | 219,729 | D | |||
| Class A Common Stock | 01/01/2023 | F | 6,034 | D | $11.94 | 213,695 | D | |||
| Class A Common Stock | 01/01/2023 | M | 10,996 | A | (1) | 224,691 | D | |||
| Class A Common Stock | 01/01/2023 | F | 4,327 | D | $11.94 | 220,364 | D | |||
| Class A Common Stock | 01/03/2023 | M | 99,156 | A | (1) | 319,520 | D | |||
| Class A Common Stock | 01/03/2023 | F | 39,018 | D | $12.04 | 280,502 | D | |||
| Class A Common Stock | 01/03/2023 | M | 15,333 | A | (1) | 295,835 | D | |||
| Class A Common Stock | 01/03/2023 | F | 6,034 | D | $12.04 | 289,801 | D | |||
| Class A Common Stock | 01/03/2023 | M | 10,996 | A | (1) | 300,797 | D | |||
| Class A Common Stock | 01/03/2023 | F | 4,327 | D | $12.04 | 296,470 | D | |||
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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| 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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Restricted Stock Units | (2) | 01/01/2023 | M | 99,156 | (3) | (3) | Class A Common Stock | 99,156 | $0 | 297,469 | D | ||||
| Restricted Stock Units | (2) | 01/01/2023 | M | 15,333 | (4) | (4) | Class A Common Stock | 15,333 | $0 | 76,667 | D | ||||
| Restricted Stock Units | (2) | 01/01/2023 | M | 10,996 | (5) | (5) | Class A Common Stock | 10,996 | $0 | 76,974 | D | ||||
| Restricted Stock Units | (2) | 01/03/2023 | M | 99,156 | (3) | (3) | Class A Common Stock | 99,156 | $0 | 198,313 | D | ||||
| Restricted Stock Units | (2) | 01/03/2023 | M | 15,333 | (4) | (4) | Class A Common Stock | 15,333 | $0 | 61,334 | D | ||||
| Restricted Stock Units | (2) | 01/03/2023 | M | 10,996 | (5) | (5) | Class A Common Stock | 10,996 | $0 | 65,978 | D | ||||
| Explanation of Responses: |
| 1. Restricted stock units convert into Class A common stock on a one-for-one basis. |
| 2. Each restricted stock unit represents a contingent right to receive one share of the Issuer's Class A common stock. |
| 3. On August 17, 2022, the reporting person was granted 396,625 restricted stock units that vest as follows: 1/2 of the restricted stock units vest on January 1, 2023, and the remaining 1/2 of the restricted stock units vest on January 1, 2024, subject to the Reporting Person continued service with the Issuer on the applicable vesting dates. The restricted stock units that vested on January 1, 2023 were released in two tranches: 99,156 released on January 1, 2023 and 99,156 released on January 3, 2023. |
| 4. On August 17, 2022, the reporting person was granted 92,000 restricted stock units that vest as follows: 1/3 of the restricted stock units vest on January 1, 2023, and 1/12 of the restricted stock units vest quarterly thereafter, subject to the Reporting Person continued service with the Issuer on the applicable vesting dates. The restricted stock units that vested on January 1, 2023 were released in two tranches: 15,333 released on January 1, 2023 and 15,333 released on January 3, 2023. |
| 5. On August 17, 2022, the reporting person was granted 87,970 restricted stock units that vest as follows: 1/4 of the restricted stock units vest on January 1, 2023, and 1/16 of the restricted stock units vest quarterly thereafter, subject to the Reporting Person continued service with the Issuer on the applicable vesting dates. The restricted stock units that vested on January 1, 2023 were released in two tranches: 10,996 released on January 1, 2023 and 10,996 released on January 3, 2023. |
| Remarks: |
| Reporting Person's title is Vice President, Sales, Marketing & Product Strategy. |
| /s/ Corey Dufresne, Attorney-in-Fact | 01/04/2023 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * 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). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| 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 Number. | ||