Grove Collaborative (GROV) Form 3 Grove Collaborative / Thomas Siragusa ownership change

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Siragusa Thomas

(Last) (First) (Middle)

C/O GROVE COLLABORATIVE HOLDINGS, INC.

1301 SANSOME STREET

(Street)

SAN FRANCISCO CA 94111

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
02/18/2025

3. Issuer Name and Ticker or Trading Symbol
Grove Collaborative Holdings, Inc. [ GROV ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Interim CFO

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock	29,051	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Restricted Stock Units	(1)	(2)	Class A Common Stock	1,417	(3)	D
Restricted Stock Units	(4)	(2)	Class A Common Stock	1,632	(3)	D
Restricted Stock Units	(5)	(2)	Class A Common Stock	10,790	(3)	D
Restricted Stock Units	(5)	(2)	Class A Common Stock	53,332	(3)	D
Restricted Stock Units	(5)	(2)	Class A Common Stock	27,500	(3)	D
Restricted Stock Units	(6)	(2)	Class A Common Stock	83,449	(3)	D

Explanation of Responses:

1. These RSUs will vest in 16 equal installments on each February 15, May 15, August 15 and November 15 until becoming fully vested on February 15, 2026, subject to the Reporting Person's continued service with the Issuer through each applicable vesting date.

2. The RSUs have no expiration date.

3. Each restricted stock unit ("RSU") represents a contingent right to receive one share of class A Common Stock

4. These RSUs will vest in 16 equal installments on each February 15, May 15, August 15 and November 15 until becoming fully vested on August 15, 2026, subject to the Reporting Person's continued service with the Issuer through each applicable vesting date.

5. 1/12th of the shares subject to the Award shall vest on each of the Company's Standard Quarterly Vesting Dates (February 15th, May 15th, August 15th and November 15th of each year; provided, that if such date occurs on a weekend or federal holiday, vesting shall occur on the next business day) beginning with the first quarterly vesting date in the next calendar quarter following the Vesting Commencement Date.

6. These RSUs will vest in 12 quarterly installments each February 15, May 15, August 15 and November 15 commencing on May 15, 2025, subject to the Reporting Person's continued service with the Issuer through each applicable vesting date.

	/s/Barbara R Wallace, attorney-in-fact for Tom Siragusa	03/06/2025
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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