Amended Statement of Beneficial Ownership (3/a)
December 06 2021 - 04:46PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP
OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response... 0.5 |
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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
|
|
1. Name
and Address of Reporting Person * Griffin Patrick
Michael |
2. Date of Event Requiring Statement
(MM/DD/YYYY)
10/25/2021
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3. Issuer Name and Ticker or Trading
Symbol Hyzon Motors Inc. [HYZN] |
(Last)
(First)
(Middle)
C/O 475 QUAKER MEETING HOUSE ROAD |
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
___X___ Officer (give title
below) _____
Other (specify below)
See Remarks / |
(Street)
HONEOYE, NY 14472
(City)
(State)
(Zip)
|
5. If Amendment, Date Original
Filed(MM/DD/YYYY)
11/4/2021
|
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) |
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 |
Explanation of
Responses: |
Remarks:
President of Vehicle Operations
This amendment is being filed to include the SEC filing code for
Pat Griffin, the reporting person, which was not available at the
time of the original filing.
See Exhibit 24 - Power of Attorney |
No securities are beneficially
owned. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Griffin Patrick Michael
C/O 475 QUAKER MEETING HOUSE ROAD
HONEOYE, NY 14472 |
|
|
See Remarks |
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Signatures
|
/s/ John Zavoli, Attorney-in-fact |
|
12/6/2021 |
**Signature of Reporting
Person |
Date |
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