Larry W. Sonsini - 22 Apr 2024 Form 4/A - Amendment Insider Report for Ibotta, Inc. (IBTA)

Role
Director
Signature
/s/ David T. Shapiro, by power of attorney
Issuer symbol
IBTA
Transactions as of
22 Apr 2024
Net transactions value
+$100,102
Form type
4/A - Amendment
Filing time
23 Aug 2024, 15:52:02 UTC
Date Of Original Report
22 Apr 2024
Previous filing
23 Aug 2024
Next filing
03 Dec 2024
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction IBTA Class A Common Stock Conversion of derivative security $100,102 +1,569 $63.80 1,569 22 Apr 2024 See footnote F1, F2

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 IBTA Convertible Promissory Note Conversion of derivative security -1,569 -100% 0 22 Apr 2024 Class A Common Stock 1,569 $63.80 See footnote F1, F2, F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 These securities were omitted from the original Form 4, filed April 22, 2024.
F2 The securities are held by the Reporting Person's spouse.
F3 The principal amount of the Convertible Promissory Note (together with accrued interest thereon) automatically converted 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 treatment of the Convertible Promissory Note in the IPO was exempt pursuant to Rule 16b-6 and Rule 16b-3.