Initial Statement of Beneficial Ownership (3)
05 Août 2022 - 2:59PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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0.5
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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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1. Name and Address of Reporting Person
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NextView Ventures II, L.P. |
2. Date of Event Requiring Statement (MM/DD/YYYY)
6/16/2022
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3. Issuer Name and Ticker or Trading Symbol
Grove Collaborative Holdings, Inc. [GROV]
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(Last)
(First)
(Middle)
179 LINCOLN STREET, SUITE 404 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Street)
BOSTON, MA 02111
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A Common Stock | 50100 | D (1) | |
Class A Common Stock | 100 | I | By: NextView Ventures II-A, L.P. (2) |
Class A Common Stock | 100 | I | By: NextView Ventures I Co-Invest Fund, L.P. (3) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 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 B Common Stock | (4) | (4) | Class A Common Stock | 4684890 | (4) | D (1) | |
Class B Common Stock | (4) | (4) | Class A Common Stock | 1749024 | (4) | I | By NextView Ventures II-A, L.P. (2) |
Class B Common Stock | (4) | (4) | Class A Common Stock | 546349 | (4) | I | By: NextView Ventures I Co-Invest Fund, L.P. (3) |
Explanation of Responses: |
(1) | These securities are held directly by NextView Ventures II, L.P. ("NextView II"). NextView Capital Partners II, LLC ("NextView GP II"), the general partner of NextView II, may be deemed to have voting and investment power with respect to the shares held by NextView II. NextView GP II disclaims beneficial ownership of these securities and this report shall not be deemed an admission that it is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of its pecuniary interest therein. |
(2) | These securities are held directly by NextView Ventures II-A, L.P. ("NextView II-A"). NextView GP II, the general partner of NextView II-A, may be deemed to have voting and investment power with respect to the shares held by NextView II-A. NextView GP II disclaims beneficial ownership of these securities and this report shall not be deemed an admission that it is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of its pecuniary interest therein. |
(3) | These securities are held directly by NextView Ventures I Co-Invest Fund, L.P. ("NextView Co-Invest"). NextView Capital Partners Co-Invest, LLC ("NextView GP Co-Invest"), the general partner of NextView Co-Invest, may be deemed to have voting and investment power with respect to the shares held by NextView Co-Invest. NextView GP Co-Invest disclaims beneficial ownership of these securities and this report shall not be deemed an admission that it is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of its pecuniary interest therein. |
(4) | Each share of Class B Common Stock is convertible at any time into Class A Common Stock on a one-to-one basis at the holder's election for no additional consideration and has no expiration date. |
Remarks: This Form 3 is being filed late due to an administrative oversight. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
NextView Ventures II, L.P. 179 LINCOLN STREET SUITE 404 BOSTON, MA 02111 |
| X |
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NextView Ventures II-A, L.P. 179 LINCOLN STREET SUITE 404 BOSTON, MA 02111 |
| X |
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NextView Ventures I Co-Invest Fund, L.P. 179 LINCOLN STREET SUITE 404 BOSTON, MA 02111 |
| X |
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NextView Capital Partners II, LLC 179 LINCOLN STREET SUITE 404 BOSTON, MA 02111 |
| X |
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NextView Capital Partners Co-Invest, LLC 179 LINCOLN STREET SUITE 404 BOSTON, MA 02111 |
| X |
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Signatures
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/s/ Robert Go NEXTVIEW VENTURES II, L.P. By: NextView Capital Partners II, LLC, its general partner, By: Robert Go, its Managing Member | | 8/5/2022 |
**Signature of Reporting Person | Date |
/s/ Robert Go NEXTVIEW VENTURES II-A, L.P. By: NextView Capital Partners II, LLC, its general partner, By: Robert Go, its Managing Member | | 8/5/2022 |
**Signature of Reporting Person | Date |
/s/ Robert Go NEXTVIEW VENTURES I CO-INVEST FUND, L.P. By: NextView Capital Partners Co-Invest, LLC, its general partner, By: Robert Go, its Managing Member | | 8/5/2022 |
**Signature of Reporting Person | Date |
/s/ Robert Go NEXTVIEW CAPITAL PARTNERS II, LLC, By: Robert Go, its Managing Member | | 8/5/2022 |
**Signature of Reporting Person | Date |
/s/ Robert Go NEXTVIEW CAPITAL PARTNERS CO-INVEST, LLC, By: Robert Go, its Managing Member | | 8/5/2022 |
**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 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). |
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 control number. |
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