Statement of Changes in Beneficial Ownership (4)
February 22 2022 - 05:40PM
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
|
OMB
APPROVAL
OMB Number: 3235-0287
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 * ZAVOLI
JOHN R |
2. Issuer Name and Ticker or Trading
Symbol Hyzon Motors Inc. [ HYZN ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
See Remarks |
(Last)
(First)
(Middle)
C/O 475 QUAKER MEETING HOUSE ROAD |
3. Date of Earliest Transaction (MM/DD/YYYY)
2/17/2022
|
(Street)
HONEOYE FALLS, NY 14472
(City)
(State)
(Zip)
|
4. 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 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 |
Class A Common Stock, par value $0.0001 per
share |
2/17/2022 |
|
M |
|
17720 |
A |
(1) |
30731 |
D |
|
Class A Common Stock, par value $0.0001 per
share |
2/17/2022 |
|
F(2) |
|
6273 |
D |
$5.94 |
24458 |
D |
|
Class A Common Stock, par value $0.0001 per
share |
|
|
|
|
|
|
|
250 |
I |
By Wife |
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 |
Restricted Stock Units |
(1) |
2/17/2022 |
|
M |
|
|
17720 |
(1) |
(1) |
Class A Common Stock, par value $0.0001 per
share |
17720.0 |
$0 |
70880 |
D |
|
Explanation of
Responses: |
(1) |
Restricted stock units
granted under the Hyzon Motors Inc. 2020 Stock Incentive Plan,
granted on February 18, 2021 (the "Grant Date"); restricted stock
units vest pursuant to a five year vesting schedule, whereby
one-sixth of the total number of shares vested on the Grant Date,
subject to deferral to September 22, 2021, and each year on the
anniversary of the Grant Date, subject to continued employment with
the Issuer. Each restricted stock unit represents a contingent
right to receive one share of Class A Common Stock. |
(2) |
Shares of Class A Common
Stock were withheld by the Issuer in order to satisfy certain tax
withholding obligations in connection with the vesting of
restricted stock units. |
Remarks:
General Counsel & Chief Legal Officer |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
ZAVOLI JOHN R
C/O 475 QUAKER MEETING HOUSE ROAD
HONEOYE FALLS, NY 14472 |
|
|
See Remarks |
|
Signatures
|
/s/ John Zavoli |
|
2/22/2022 |
**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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