Lori Friedman - Sep 23, 2021 Form 4 Insider Report for Jiya Acquisition Corp. (JYAC)

Role: Director
Signature: By: /s/ Lori Friedman By: Richard Van Doren, attorney-in-fact
Stock symbol: JYAC
Transactions as of: Sep 23, 2021
Transactions value $: $0
Form type: 4
Date filed: 9/27/2021, 04:49 PM

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	JYAC	Class B Common Stock	Other		+30K			30K	Sep 23, 2021	Class A Common Stock	30K		Direct	F1, F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	The shares of Class B Common Stock of the Issuer ("Class B Shares") will automatically convert into shares of Class A Common Stock of the Issuer ("Class A Shares") on a one-for-one basis (subject to certain adjustments for stock splits, stock dividends, reorganizations, recapitalizations and similar transactions) concurrently with or immediately following the consummation of the Issuer's initial business combination, as described in the section entitled "Description of Securities" in the Issuer's Registration Statement on Form S-1 (File No. 333-249808) filed with the Securities and Exchange Commission on November 16, 2020. The Class B Shares have no expiration date.
F2	Reflects the transfer of 30,000 Class B Shares to the Reporting Person from Jiya Holding Company LLC ("Jiya Holdco") for no consideration ($0) in respect of the Reporting Person's service on the Issuer's Board of Directors (the "Issuer Board"). The Class B Shares are subject to forfeiture if the Reporting Person is removed from office as a director or voluntarily resigns from the Reporting Person's position with the Issuer Board at any time before the consummation of the Issuer's initial business combination. Upon any such forfeiture, the Class B Shares will be automatically returned to Jiya Holdco for no consideration ($0).

Content

The shares of Class B Common Stock of the Issuer ("Class B Shares") will automatically convert into shares of Class A Common Stock of the Issuer ("Class A Shares") on a one-for-one basis (subject to certain adjustments for stock splits, stock dividends, reorganizations, recapitalizations and similar transactions) concurrently with or immediately following the consummation of the Issuer's initial business combination, as described in the section entitled "Description of Securities" in the Issuer's Registration Statement on Form S-1 (File No. 333-249808) filed with the Securities and Exchange Commission on November 16, 2020. The Class B Shares have no expiration date.

Reflects the transfer of 30,000 Class B Shares to the Reporting Person from Jiya Holding Company LLC ("Jiya Holdco") for no consideration ($0) in respect of the Reporting Person's service on the Issuer's Board of Directors (the "Issuer Board"). The Class B Shares are subject to forfeiture if the Reporting Person is removed from office as a director or voluntarily resigns from the Reporting Person's position with the Issuer Board at any time before the consummation of the Issuer's initial business combination. Upon any such forfeiture, the Class B Shares will be automatically returned to Jiya Holdco for no consideration ($0).