Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No.)
Vital Farms, Inc.
(Name of Issuer)
COMMON STOCK, $0.0001 PAR VALUE
(Title of Class of Securities)
92847W103
(CUSIP Number)
december 31, 2020
(Date of Event Which Requires Filing of This Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ | Rule 13d-1(b) | |||
☐ | Rule 13d-1(c) | |||
☒ | Rule 13d-1(d) | |||
*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
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CUSIP No. 92847W103 | Page 2 of 5 Pages | |||
1. |
Name of Reporting Persons Matthew O’Hayer | |||
2. |
Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☐ (b) ☒ | |||
3. | SEC USE ONLY | |||
4. |
Citizenship or Place of Organization United States of America | |||
Number of Shares Beneficially Owned by Each Reporting Person With: |
5. |
Sole Voting Power 10,849,649 (1) | ||
6. |
Shared Voting Power 0 | |||
7. |
Sole Dispositive Power 10,849,649 (1) | |||
8. |
Shared Dispositive Power 0 | |||
9. |
Aggregate Amount Beneficially Owned by Each Reporting Person 10,849,649 (1) | |||
10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) ☐ | |||
11. |
Percent of Class Represented by Amount in Row (9) 27.4% (2) | |||
12. |
Type of Reporting Person (See Instructions) IN | |||
(1) Consists of (i) 10,650,494 shares of the Issuer’s common stock held directly by the Reporting Person and (ii) 199,155 shares of common stock issuable upon the exercise of stock options within 60 days of December 31, 2020. Includes 307,500 shares that are transferable u pon exercise of call options held by The MIPOTH-C Trust in respect of 123,000 shares, The MIPOTH-J Trust in respect of 123,000 shares and Russell Diez-Canseco in respect of 61,500 shares.
(2) This percentage is calculated based upon 39,432,161 outstanding shares of the Issuer’s common stock, as reported in the Issuer’s 424(b)(4) (Commission File No. 333-249992) filed with the Securities and Exchange Commission on November 12, 2020.
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CUSIP No. 92847W103 | Page 3 of 5 Pages | |
Item 1(a) | Name of Issuer | |
Vital Farms, Inc.
Item 1(b) | Address of Issuer's Principal Executive Offices |
3601 South Congress Avenue
Suite C100
Austin, Texas 78704
Item 2(a) | Name of Person Filing |
Matthew O’Hayer
Item 2(b) | Address of Principal Business Office or, if none, Residence |
c/o Vital Farms, Inc.
3601 South Congress Avenue
Suite C100
Austin, Texas 78704
Item 2(c) | Citizenship |
United States of America
Item 2(d) | Title of Class of Securities |
Common Stock, $0.0001 par value per share
Item 2(e) | CUSIP Number |
92847W103
Item 3 |
Not applicable.
Item 4 | Ownership |
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1
(a) Amount beneficially owned: See Row 9 of cover page for the Reporting Person
(b) Percent of class: See Row 11 of cover page for the Reporting Person
(c) Number of shares as to which the person has:
(i) Sole power to vote or to direct the vote: See Row 5 of cover page for the Reporting Person.
(ii) Shared power to vote or to direct the vote: See Row 6 of cover page for the Reporting Person.
(iii) Sole power to dispose or to direct the disposition of: See Row 7 of cover page for the Reporting Person.
(iv) Shared power to dispose or to direct the disposition of: See Row 8 of cover page for the Reporting Person.
Item 5 | Ownership of Five Percent or Less of a Class |
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following. ☐
Item 6 | Ownership of More than Five Percent of Another Person |
Not applicable.
CUSIP No. 92847W103 | Page 4 of 5 Pages |
Item 7 | Identification and Classification of the Subsidiary which Acquired the Security Being Reported on by the Parent Holding Company |
Not applicable.
Item 8 | Identification and Classificat ion of Members of the Group |
Not applicable.
Item 9 | Notice of Dissolution of Group |
Not applicable.
Item 10 | Certification |
Not applicable.
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CUSIP No. 92847W103 | Page 5 of 5 Pages |
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Dated: February 12, 2021
By: | /s/ Matthew O’Hayer | ||
Matthew O’Hayer | |||