Statement of Changes in Beneficial Ownership (4)
September 21 2021 - 07:03PM
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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OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
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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 * GALLAGHER DENNIS
M. |
2. Issuer Name and Ticker or Trading
Symbol Hyliion Holdings Corp. [ HYLN ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Chief Operating Officer |
(Last)
(First)
(Middle)
C/O HYLIION HOLDINGS CORP., 1202 BMC DRIVE, SUITE
100 |
3. Date of Earliest Transaction (MM/DD/YYYY)
9/17/2021
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(Street)
CEDAR PARK, TX 78613
(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 |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
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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 |
9/17/2021 |
|
A(1) |
|
23532 |
A |
$0 |
23532 |
D |
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Common Stock |
9/17/2021 |
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A(2) |
|
70435 |
A |
$0 |
93967 |
D |
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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 |
Explanation of
Responses: |
(1) |
The Reporting Person
received a grant of restricted stock units ("RSU Award") pursuant
to the Issuer's 2020 Equity Incentive Plan. The RSU Award fully
vests upon the grant date. |
(2) |
The Reporting Person
received an RSU Award pursuant to the Issuer's 2020 Equity
Incentive Plan. One-third (1/3) of the RSU Award will vest on
September 17, 2022 and the remaining two-thirds (2/3) of the RSU
Award will vest quarterly in equal amounts over a two-year period
thereafter. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
GALLAGHER DENNIS M.
C/O HYLIION HOLDINGS CORP.
1202 BMC DRIVE, SUITE 100
CEDAR PARK, TX 78613 |
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|
Chief Operating Officer |
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Signatures
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/s/ Dennis M. Gallagher |
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9/21/2021 |
**Signature of
Reporting Person |
Date |
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