Larry W. Sonsini - Apr 17, 2024 Form 3/A - Amendment Insider Report for Ibotta, Inc. (IBTA)

Role
Director
Signature
/s/ David T. Shapiro, by power of attorney
Stock symbol
IBTA
Transactions as of
Apr 17, 2024
Transactions value $
$0
Form type
3/A - Amendment
Date filed
8/23/2024, 03:04 PM
Date Of Original Report
Apr 17, 2024
Next filing
Aug 23, 2024

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 IBTA Convertible Promissory Note Apr 17, 2024 Class A Common Stock 1.57K $63.80 See footnote F1, F2, F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The Convertible Promissory Note held by the Reporting Person's spouse was omitted from the original Form 3, filed April 17, 2024.
F2 The Convertible Promissory Note was initially issued on March 24, 2022 and contained various predetermined and automatic adjustment provisions contingent upon the occurrence of specified events. As a result of the IPO pricing, the ultimate conversion price became fixed at $63.80, contingent upon closing of the IPO.
F3 The principal amount of the Convertible Promissory Note (together with accrued interest thereon) will convert concurrently with the closing of the IPO into shares of Class A Common Stock at a conversion price equal to $63.80. The Convertible Promissory Note has a maturity date of March 24, 2027. The number of shares reported in Column 3 represents the principal amount (together with accrued interest thereon) divided by the conversion price.
F4 The Convertible Promissory Note is held by the Reporting Person's spouse.