Srinivas Akkaraju - 23 Sep 2022 Form 4 Insider Report for Jiya Acquisition Corp.

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
23 Sep 2022, 18:39:55 UTC
Prior SEC filing
20 Apr 2023
Next SEC filing
13 Feb 2023
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
By: /s/ Srinivas Akkaraju

Key filing fact

Srinivas Akkaraju filed Form 4 for Jiya Acquisition Corp. on 23 Sep 2022.

Key facts

  • This page summarizes Srinivas Akkaraju's Form 4 filing for Jiya Acquisition Corp..
  • 1 reported transaction and 1 derivative row are listed below.
  • Accepted by SEC: 23 Sep 2022, 18:39.

Change

  • Previous filing in this sequence was filed on 20 Apr 2023.
  • Current net transaction value: $0.

Research use

  • 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.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

JYAC transaction Derivative

Class B Common Stock

Other

Transaction value
Shares
+29,667
Change %
+1.2%
Price
Shares after
2,437,114
Date
23 Sep 2022
Ownership
See Footnotes
Underlying class
Class A Common Stock
Underlying amount
29,667
Exercise price
Footnotes
F1, F2, F3, F4
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 4 footnotes

Footnote 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.

Footnote F2

Reflects the forfeiture of Class B Shares held by an employee of the Issuer upon such employee's resignation from the Issuer. As a result, these Class B Shares were automatically returned to Jiya Holding Company LLC ("Jiya Holdco") for no consideration ($0).

Footnote F3

Reflects the Class B Shares held by Jiya Holdco. This amount does not reflect the 30,000 Class B shares directly held by Dr. Srinivas Akkaraju M.D., Ph.D.

Footnote F4

Jiya HoldCo is wholly owned by Samsara BioCapital, L.P. ("Samsara LP"). Dr. Akkaraju has voting and dispositive control over the reported securities held by Jiya Holdco via Dr. Akkaraju's control of Samsara LP's general partner, Samsara BioCapital GP, LLC. Each of the Reporting Persons disclaims beneficial ownership of the reported securities except to the extent of his or its pecuniary interest therein.

We use cookies and similar technologies to provide certain features, enhance the user experience and, if you allow them, measure engagement and deliver advertising. Analytics and marketing storage stay off until you grant consent. By clicking on "Agree and continue", you declare your consent to the use of the selected optional cookies. Manage preferences to update or revoke optional consent for future visits. For more information, see our Privacy Policy .