Initial Statement of Beneficial Ownership (3)
July 30 2021 - 3:54PM
Edgar (US Regulatory)
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
Wagner Thomas Anderson |
2. Date of Event Requiring Statement (MM/DD/YYYY)
7/26/2021
|
3. Issuer Name and Ticker or Trading Symbol
Berkshire Grey, Inc. [BGRY]
|
(Last)
(First)
(Middle)
C/O BERKSHIRE GREY, INC., 140 SOUTH ROAD |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__X__ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Chief Executive Officer / |
(Street)
BEDFORD, MA 01730
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Beneficially Owned
|
1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A Common Stock | 4709752 (1) | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Employee Stock Option (right to buy) | (2) | 11/4/2030 | Class A Common Stock | 2036268 | $1.14 | D | |
Employee Stock Option (right to buy) | (3) | 11/4/2030 | Class A Common Stock | 620816 | $1.14 | D | |
Employee Stock Option (right to buy) | (4) | 12/9/2030 | Class A Common Stock | 215478 | $1.14 | D | |
Employee Stock Option (right to buy) | (3) | 12/9/2030 | Class A Common Stock | 2317441 | $1.14 | D | |
Explanation of Responses: |
(1) | In connection with the business combination between Berkshire Grey, Inc. (f/k/a Revolution Acceleration Acquisition Corp) (the "Company") and Berkshire Grey Operating Company, Inc. (f/k/a Berkshire Grey, Inc.) ("Legacy Berkshire Grey"), and each share of Legacy Berkshire Grey common stock was converted into the right to receive approximately 5.87585 shares of the Company's Class A Common Stock. |
(2) | The stock options vest as to 25% of the underlying shares of Class A Common Stock on September 1, 2021, and with respect to the remaining shares in 36 equal monthly installments thereafter. |
(3) | 33.33% of the stock options vested on attainment of a performance milestone on July 21, 2021. The remaining stock options shall vest upon the attainment of certain additional performance milestones. |
(4) | The stock options vest as to 25% of the underlying shares of Class A Common Stock on December 9, 2021, and with respect to the remaining shares in 36 equal monthly installments thereafter. |
Remarks: Exhibit 24 - Power of Attorney |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Wagner Thomas Anderson C/O BERKSHIRE GREY, INC. 140 SOUTH ROAD BEDFORD, MA 01730 | X |
| Chief Executive Officer |
|
Signatures
|
/s/ Christian Ehrbar, Attorney in Fact | | 7/30/2021 |
**Signature of Reporting Person | Date |
Revolution Acceleration ... (NASDAQ:RAAC)
Historical Stock Chart
From Mar 2024 to Apr 2024
Revolution Acceleration ... (NASDAQ:RAAC)
Historical Stock Chart
From Apr 2023 to Apr 2024