4//SEC Filing
Bornstein Jonathan 4
Accession 0001628280-24-043858
CIK 0001899287other
Filed
Oct 24, 8:00 PM ET
Accepted
Oct 25, 6:34 PM ET
Size
9.8 KB
Accession
0001628280-24-043858
Insider Transaction Report
Form 4
Bornstein Jonathan
President of Amprius Lab
Transactions
- Award
Stock Option (right to buy)
2024-10-23+3,471→ 3,471 totalExercise: $0.98Exp: 2025-03-17→ Common stock (3,471 underlying) - Award
Stock Option (right to buy)
2024-10-23+27,768→ 27,768 totalExercise: $0.62Exp: 2027-03-15→ Common stock (27,768 underlying)
Holdings
- 1,661,787
Common stock
Footnotes (6)
- [F1]Includes 133,536 shares that the Reporting Person received in a pro rata distribution by Amprius, Inc. ("Amprius Holdings"), which distribution was exempt under Rule 16a-9, in connection with Amprius Holdings' dissolution (the "Liquidating Distribution").
- [F2]Includes 489,064 restricted stock units, each of which represents a contingent right to receive one share of the Issuer's common stock, subject to the applicable vesting schedule and conditions of each restricted stock unit.
- [F3]In connection with the Liquidating Distribution, the Issuer assumed Amprius Holdings' outstanding options to purchase shares of Amprius Holdings' Class A common stock (the "Holdings Options") granted under the Amprius, Inc. 2008 Stock Plan and the Amprius, Inc. Second Equity Incentive Plan (the "Option Assumption"). As a result of the Option Assumption, each Holdings Option held by the Reporting Person became an option to purchase a number of shares of the Issuer's common stock, subject to certain adjustments to the terms of such options to comply with the requirements of U.S. Internal Revenue Code treasury regulation relating to equity grant assumptions.
- [F4]The options are fully vested.
- [F5]Received in connection with the Option Assumption in exchange for stock options to acquire 5,000 shares of Amprius Holdings' Class A common stock at an exercise price of $0.68 per share.
- [F6]Received in connection with the Option Assumption in exchange for stock options to acquire 40,000 shares of Amprius Holdings' Class A common stock at an exercise price of $0.43 per share.
Documents
Issuer
Amprius Technologies, Inc.
CIK 0001899287
Entity typeother
Related Parties
1- filerCIK 0001942459
Filing Metadata
- Form type
- 4
- Filed
- Oct 24, 8:00 PM ET
- Accepted
- Oct 25, 6:34 PM ET
- Size
- 9.8 KB