Bialecki Andrew - 20 Sep 2023 Form 3 Insider Report for Klaviyo, Inc. (KVYO)

Role
Chief Executive Officer, Director, 10%+ Owner
Signature
/s/ Landon Edmond, Attorney-in-Fact
Issuer symbol
KVYO
Transactions as of
20 Sep 2023
Net transactions value
$0
Form type
3
Filing time
20 Sep 2023, 16:27:18 UTC
Next filing
16 May 2025
SEC
View on sec.gov

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
holding KVYO Series B Common Stock 20 Sep 2023 Series A Common Stock 60,359,000 Direct F1
holding KVYO Series B Common Stock 20 Sep 2023 Series A Common Stock 16,000,000 By The Andrew P. Bialecki Grantor Retained Annuity Trust I of 2023 F1, F2
holding KVYO Series B Common Stock 20 Sep 2023 Series A Common Stock 517,006 By The Andrew P. Bialecki Irrevocable GST Trust of 2023 F1, F3
holding KVYO Series B Common Stock 20 Sep 2023 Series A Common Stock 517,006 By The Elizabeth L. Bialecki Irrevocable GST Trust of 2023 F1, F4
holding KVYO Series B Common Stock 20 Sep 2023 Series A Common Stock 43,218 By spouse F1
holding KVYO Stock Option (Right to Buy) 20 Sep 2023 Series B Common Stock 15,829,184 $0.0125 Direct F5
holding KVYO Stock Option (Right to Buy) 20 Sep 2023 Series B Common Stock 5,600,000 $0.0125 Direct F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each share of Series B Common Stock is convertible at any time at the option of the holder into one share of Series A Common Stock of the Issuer, and will automatically convert into Series A Common Stock upon the occurrence of certain events as set forth in the Issuer's certificate of incorporation. The Series B Common Stock has no expiration date.
F2 Shares held by the Andrew P. Bialecki Grantor Retained Annuity Trust I of 2023, of which the Reporting Person serves as trustee. The Reporting Person disclaims Section 16 beneficial ownership of such shares except to the extent of his pecuniary interest therein, if any, and this report shall not be deemed to be an admission that he has beneficial ownership of such shares for Section 16 or any other purpose.
F3 Shares held by the Andrew P. Bialecki Irrevocable GST Trust of 2023, of which the Reporting Persons spouse serves as a trustee. The Reporting Person disclaims Section 16 beneficial ownership of such shares except to the extent of his pecuniary interest therein, if any, and this report shall not be deemed to be an admission that he has beneficial ownership of such shares for Section 16 or any other purpose.
F4 Shares held by the Elizabeth L. Bialecki Irrevocable GST Trust of 2023, of which the Reporting Person serves as a trustee. The Reporting Person disclaims Section 16 beneficial ownership of such shares except to the extent of his pecuniary interest therein, if any, and this report shall not be deemed to be an admission that he has beneficial ownership of such shares for Section 16 or any other purpose.
F5 The shares underlying this option are fully vested and exercisable as of the date hereof.

Remarks:

Exhibit 24 Power of Attorney