Lori Sickels Friedman - 23 Sep 2021 Form 4 Insider Report for Jiya Acquisition Corp.

Source evidence Original filing metadata and source links for verification. 3 source fields
SEC form
4
Accepted by SEC
27 Sep 2021, 16:49:11 UTC
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
By: /s/ Lori Friedman By: Richard Van Doren, attorney-in-fact

Key filing fact

Lori Sickels Friedman filed Form 4 for Jiya Acquisition Corp. on 27 Sep 2021.

Key facts

  • This page summarizes Lori Sickels Friedman's Form 4 filing for Jiya Acquisition Corp..
  • 1 reported transaction and 1 derivative row are listed below.
  • Accepted by SEC: 27 Sep 2021, 16:49.

Change

  • No earlier filing in this sequence is available for direct comparison.
  • 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
+30,000
Change %
Price
Shares after
30,000
Date
23 Sep 2021
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
30,000
Exercise price
Footnotes
F1, F2
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 2 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 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).

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