David A. Ladensohn - Jul 19, 2022 Form 4 Insider Report for Symbotic Inc. (SYM)

Role
10%+ Owner
Signature
/s/ Corey Dufresne, Attorney-in-Fact for David A. Ladensohn
Stock symbol
SYM
Transactions as of
Jul 19, 2022
Transactions value $
$0
Form type
4
Date filed
7/21/2022, 05:00 PM
Previous filing
Jun 9, 2022
Next filing
Jan 6, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction SYM Class V-1 Common Stock Award +5.26M 5.26M Jul 19, 2022 As Trustee for securities held by Trust F1, F2, F3, F4, F5, F6

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction SYM Symbotic Holdings Units Award +5.26M +2.63% 206M Jul 19, 2022 Class A Common Stock 5.26M As Trustee for securities held by Trust F1, F2, F3, F5, F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents Symbotic Holdings Units issued on July 19, 2022 as Earnout Interests following the occurrence of Triggering Event I and Triggering Event II in connection with the Agreement and Plan of Merger, dated December 12, 2021, by and among the Issuer, Saturn Acquisition (DE) Corp., Warehouse Technologies LLC and Symbotic Holdings LLC ("Symbotic Holdings"), as described in the Issuer's final prospectus filed with the Securities and Exchange Commission on June 1, 2022.
F2 The term "Symbotic Holdings Units" is used herein to represent limited liability company units of Symbotic Holdings and an equal number of paired shares of Class V-1 Common Stock or Class V-3 Common Stock of the Issuer, which, pursuant to the limited liability company agreement of Symbotic Holdings, are together redeemable by the holder on a one-for-one basis for a share of Class A Common Stock of the Issuer, subject to conversion rate adjustments for stock splits, stock dividends, reclassification and other similar transactions, and in accordance with other terms and conditions set forth in Symbotic Holdings' Second Amended and Restated Limited Liability Company Agreement, dated as of June 7, 2022. Upon redemption, the Issuer will cancel the Symbotic Holdings Units and cancel and retire for no consideration the redeemed shares of Class V-1 Common Stock or Class V-3 Common Stock, as applicable.
F3 (Continued from Footnote 2) Shares of Class V-1 Common Stock of the Issuer have no economic rights and each share of Class V-1 Common Stock entitles its holder to 1 vote per share. Shares of Class V-3 Common Stock of the Issuer have no economic rights and each share of Class V-3 Common Stock entitles its holder to 3 votes per share.
F4 The amount of securities beneficially owned following the reported transactions in Table I does not include shares of other classes of the Issuer's securities held directly or indirectly by the Reporting Person that are reported on preceding Form 4 filings.
F5 Reflects additional Symbotic Holdings Units that may be considered to have been acquired by the Reporting Person consisting of (i) an additional 4,241,872 Symbotic Holdings Units issued on July 19, 2022 to the RBC Millennium Trust, for which the Reporting Person serves as co-trustee with Janet L. Cohen and may be deemed to have shared voting and investment power, (ii) an additional 327,624 Symbotic Holdings Units issued on July 19, 2022 to the 2014 QSST F/B/O Perry Cohen, for which the Reporting Person serves as sole trustee, (iii) an additional 331,252 Symbotic Holdings Units issued on July 19, 2022 to the 2014 QSST F/B/O Rachel Cohen Kanter, for which the Reporting Person serves as sole trustee and (iv) an additional 363,890 Symbotic Holdings Units issued on July 19, 2022 to the Jill Cohen Mill Trust, for which the Reporting Person serves as co-trustee with Janet L. Cohen and may be deemed to have shared voting and investment power.
F6 (Continued from Footnote 5) The Reporting Person specifically disclaims beneficial ownership of the securities reported herein except to the extent of his or her pecuniary interest therein, if any. The filing of this Form 3 shall not be deemed an admission that the Reporting Person is, for purposes of Section 16 of the Exchange Act or otherwise, the beneficial owner of any securities reported herein