Statement of Changes in Beneficial Ownership (4)
May 12 2022 - 4:30PM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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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
*
Bor Michael W |
2. Issuer Name and Ticker or Trading Symbol
CarLotz, Inc.
[
LOTZ
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
C/O WILLIAMS MULLEN, P.C., 200 SOUTH 10TH STREET, SUITE 1600 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/24/2022 |
(Street)
RICHMOND, VA 23219
(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)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class A Common Stock | 3/24/2022 | | M | | 22026 | A | $0 (1) | 8936329 | D | |
Class A Common Stock | 3/24/2022 | | S(2) | | 8371 | D | $1.603 | 8927958 | D | |
Class A Common Stock | 5/10/2022 | | S | | 180465 | D | $0.77 (3) | 8747493 | D | |
Class A Common Stock | 5/11/2022 | | S | | 125000 | D | $0.68 (4) | 8622493 | D | |
Class A Common Stock | | | | | | | | 952593 | I | Held by Bor Family Trust |
Class A Common Stock | | | | | | | | 352593 | I | Held by Bor Grantor Retained Annuity Trust |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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 |
Earnout Rights | (5) | | | | | | | (5) | 1/21/2026 | Class A Common Stock | 897341 | | 897341 | D | |
Stock Option (right to buy) | $0.64 | | | | | | | (6) | 6/16/2022 | Class A Common Stock | 254818 | | 254818 | D | |
Stock Option (right to buy) | $0.92 | | | | | | | (7) | 4/23/2028 | Class A Common Stock | 613480 | | 613480 | D | |
Stock Option (right to buy) | $0.92 | | | | | | | (7) | 2/4/2030 | Class A Common Stock | 509637 | | 509637 | D | |
Stock Option (right to buy) | $11.35 | | | | | | | (6) | 6/16/2022 | Class A Common Stock | 64108 | | 64108 | D | |
Earnout Rights | (5) | | | | | | | (5) | 1/21/2026 | Class A Common Stock | 105064 | | 105064 | I | Held by Bor Family Trust |
Earnout Rights | (5) | | | | | | | (5) | 1/21/2026 | Class A Common Stock | 105064 | | 105064 | I | Held by Bor Grantor Retained Annuity Trust |
Restricted Stock Units | (8) | 3/24/2022 | | M | | | 22026 | (9) | (9) | Class A Common Stock | 22026 | $0 | 0 | D | |
Explanation of Responses: |
(1) | Each restricted stock unit is convertible into a share of Class A common stock on a 1-for-1 basis. The restricted stock units vested in Class A common stock on March 16, 2022. |
(2) | The sale reported in the Form 4 was effected pursuant to a Rule 10b5-1 instruction solely with the intent to cover withholding taxes in connection with the settlement of restricted stock units. |
(3) | The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $0.70 to $0.81, inclusive. The reporting person undertakes to provide to CarLotz, Inc., any security holder of CarLotz, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (3) and (4) to this Form 4. |
(4) | The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $0.61 to $0.76, inclusive. |
(5) | These earnout rights will vest if, prior to January 21, 2026, the closing share price of the Class A common stock exceeds the following thresholds. One-half will be issued if the closing share price of the Class A common stock exceeds $12.50 for any 20 trading days within any 30 trading day period and one-half will be issued if the closing share price of the Class A common stock exceeds $15.00 for any 20 trading days within any 30 trading day period. |
(6) | Pursuant to the terms of the Separation and Release Agreement between CarLotz, Inc. and the reporting person dated March 14, 2022 (the "Separation Agreement"), these options are fully vested and exercisable until June 16, 2022. |
(7) | These options are fully vested and exercisable in accordance with their terms. |
(8) | Each restricted stock unit is convertible into a share of Class A common stock on a 1-for-1 basis. |
(9) | Pursuant to the terms of the Separation Agreement, these restricted stock units fully vested on March 16, 2022. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Bor Michael W C/O WILLIAMS MULLEN, P.C. 200 SOUTH 10TH STREET, SUITE 1600 RICHMOND, VA 23219 |
| X |
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Signatures
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/s/ Michael W. Bor | | 5/12/2022 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
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