Jonathan Bornstein - Oct 23, 2024 Form 4 Insider Report for Amprius Technologies, Inc. (AMPX)

Role
President of Amprius Lab
Signature
/s/ Sandra Wallach, attorney-in-fact on behalf of Jonathan Bornstein
Stock symbol
AMPX
Transactions as of
Oct 23, 2024
Transactions value $
$0
Form type
4
Date filed
10/25/2024, 06:34 PM
Previous filing
Aug 22, 2024
Next filing
Nov 22, 2024

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding AMPX Common stock 1.66M Oct 23, 2024 Direct F1, F2

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 AMPX Stock Option (right to buy) Award +3.47K 3.47K Oct 23, 2024 Common stock 3.47K $0.98 Direct F3, F4, F5
transaction AMPX Stock Option (right to buy) Award +27.8K 27.8K Oct 23, 2024 Common stock 27.8K $0.62 Direct F3, F4, F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
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.