Statement of Changes in Beneficial Ownership (4)
December 20 2021 - 04:08PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
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APPROVAL
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Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
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1. Name
and Address of Reporting Person * YOUNG
CHARLES EDWIN |
2. Issuer Name and Ticker or Trading
Symbol Smart Sand, Inc. [ SND ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director __X__
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
CEO |
(Last)
(First)
(Middle)
C/O SMART SAND, INC., 1725 HUGHES LANDING BLVD, SUITE
800 |
3. Date of Earliest Transaction (MM/DD/YYYY)
12/18/2021
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(Street)
THE WOODLANDS, TX 77380
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line) ___
Form filed by One Reporting Person
_ X _ Form filed by More than One Reporting
Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
12/18/2021 |
|
F |
|
12683 (1) |
D |
$1.78 |
686842 |
D |
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Common Stock |
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|
|
|
|
|
|
5842700 |
I |
BY LLC (2) |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of
Responses: |
(1) |
Represents shares withheld
for tax purposes upon the vesting of restricted stock granted to
the Reporting Person, the vesting of which is based on the
Reporting Person's continued employment with or service to the
Issuer on the applicable vesting date. |
(2) |
Mr. Young holds 67% of the
membership interests in Keystone Cranberry, LLC ("Keystone"), is
the sole managing member and has sole voting and investment power
over the shares held by Keystone. Mr. Young disclaims beneficial
ownership of such shares except to the extent of his pecuniary
interest therein, if any. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
YOUNG CHARLES EDWIN
C/O SMART SAND, INC.
1725 HUGHES LANDING BLVD, SUITE 800
THE WOODLANDS, TX 77380 |
X |
X |
CEO |
|
KEYSTONE CRANBERRY, LLC
C/O SMART SAND, INC.
1725 HUGHES LANDING BLVD, SUITE 800
THE WOODLANDS, TX 77380 |
X |
X |
|
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Signatures
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/s/ Charles Edwin Young |
|
12/20/2021 |
**Signature of
Reporting Person |
Date |
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