0001835830-21-000001.txt : 20210518 0001835830-21-000001.hdr.sgml : 20210518 20210518171826 ACCESSION NUMBER: 0001835830-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210518 DATE AS OF CHANGE: 20210518 EFFECTIVENESS DATE: 20210518 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Klaviyo, Inc. CENTRAL INDEX KEY: 0001835830 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-399834 FILM NUMBER: 21937262 BUSINESS ADDRESS: STREET 1: 225 FRANKLIN STREET STREET 2: FL 10 CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 800-338-1744 MAIL ADDRESS: STREET 1: 225 FRANKLIN STREET STREET 2: FL 10 CITY: BOSTON STATE: MA ZIP: 02110 D 1 primary_doc.xml X0708 D LIVE 0001835830 Klaviyo, Inc. 125 Summer Street FL 6 BOSTON MA MASSACHUSETTS 02110 800-338-1744 DELAWARE None None Corporation true Benjamin Cook 125 Summer Street FL 6 Boston MA MASSACHUSETTS 02110 Executive Officer Landon Edmond 125 Summer Street FL 6 Boston MA MASSACHUSETTS 02110 Executive Officer Andrew Bialecki 125 Summer Street FL 6 Boston MA MASSACHUSETTS 02110 Executive Officer Director Edward Hallen 125 Summer Street FL 6 Boston MA MASSACHUSETTS 02110 Director Michael Medici 125 Summer Street FL 6 Boston MA MASSACHUSETTS 02110 Director Ping Li 125 Summer Street FL 6 Boston MA MASSACHUSETTS 02110 Director Kimberly Hammonds 125 Summer Street FL 6 Boston MA MASSACHUSETTS 02110 Director Tony Weisman 125 Summer Street FL 6 Boston MA MASSACHUSETTS 02110 Director Other Decline to Disclose 06b false 2021-05-04 false true false 0 349999258 320999299 28999959 false 34 0 0 0 false Klaviyo, Inc. /s/Landon Edmond Landon Edmond General Counsel, Chief Legal Officer and Secretary 2021-05-18