Keyvan Samini - 05 May 2025 Form 4 Insider Report for MOBIX LABS, INC (MOBX)

Role
President, CFO & Director, Director
Signature
/s/ Terri Aprati, Attorney-in-Fact
Issuer symbol
MOBX
Transactions as of
05 May 2025
Net transactions value
$0
Form type
4
Filing time
07 May 2025, 21:16:57 UTC
Previous filing
17 Apr 2025
Next filing
13 Aug 2025
SEC
View on sec.gov

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Quoteable Key Fact

"Keyvan Samini filed Form 4 for MOBIX LABS, INC (MOBX) on 07 May 2025."

Quick Takeaways

  • This page summarizes Keyvan Samini's Form 4 filing for MOBIX LABS, INC (MOBX).
  • 1 reported transaction and 3 derivative rows are listed below.
  • Filing timestamp: 07 May 2025, 21:16.

What Changed

  • Previous filing in this sequence was filed on 17 Apr 2025.
  • Current net transaction value: $0.

Why This Matters

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Official SEC Source

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

See Original Filing

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
SAMINI KEYVAN President, CFO & Director, Director C/O MOBIX LABS, INC., 15420 LAGUNA CANYON RD., SUITE 100, IRVINE /s/ Terri Aprati, Attorney-in-Fact 07 May 2025 0002004846

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction MOBX Class A Common Stock Award $0 +2,550,000 $0.000000 2,550,000 05 May 2025 Direct F1, F2
holding MOBX Class A Common Stock 73,529 05 May 2025 By KSLI Trust F3
holding MOBX Class A Common Stock 171,146 05 May 2025 By KSSF Trust F3
holding MOBX Class A Common Stock 73,529 05 May 2025 By SSLI Trust F3

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
holding MOBX Option (Right to Buy) 323,529 05 May 2025 Class A Common Stock 323,529 $0.1700 Direct F4, F5
holding MOBX Restricted Stock Units 333,333 05 May 2025 Class A Common Stock 333,333 Direct F6, F7
holding MOBX Class B Common Stock 125,000 05 May 2025 Class A Common Stock 125,000 Direct F8
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 These Restricted Stock Awards ("RSAs") were granted to the Reporting Person on May 5, 2025 and will vest over a two year period and can be accelerated if certain stock price thresholds are met.
F2 This amount reflects the correct number of shares directly held by the Reporting Person and corrects an error filed in the previous Form 4 filed on April 17, 2025, in which 323,529 shares were inadvertently reported on Table I and should have only been reflected as options in Table II.
F3 The Reporting Person is a trustee of this trust. The Reporting Person disclaims beneficial ownership of the securities held by this trust except to the extent of his respective pecuniary interest therein.
F4 These options are fully vested and exercisable.
F5 This amount reflects the correct number of options held by the Reporting Person and corrects an administrative error filed in the previous Form 4 filed on April 17, 2025.
F6 The Restricted Stock Units ("RSUs") convert to Class A Common Stock on a one-for-one basis.
F7 These RSUs will vest on December 21, 2025.
F8 The shares of Class B Common Stock are convertible into shares of Class A Common Stock at the option of the Reporting Person, and will be automatically converted upon (i) a transfer by the Reporting Person (other than a permitted transfer) or (ii) the first trading day after the seventh anniversary date of the Closing Date (December 21, 2023).

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