0001209191-22-002613.txt : 20220107 0001209191-22-002613.hdr.sgml : 20220107 20220107213403 ACCESSION NUMBER: 0001209191-22-002613 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211230 FILED AS OF DATE: 20220107 DATE AS OF CHANGE: 20220107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GROSS WILLIAM CENTRAL INDEX KEY: 0001079818 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40209 FILM NUMBER: 22519466 MAIL ADDRESS: STREET 1: C/O BILL GROSS' IDEALAB STREET 2: 130 W UNION STREET CITY: PASADENA STATE: CA ZIP: 91103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Heliogen, Inc. CENTRAL INDEX KEY: 0001840292 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC SERVICES [4911] IRS NUMBER: 854204953 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 123 TOWNPARK DRIVE, SUITE 300 CITY: KENNESAW STATE: GA ZIP: 30144 BUSINESS PHONE: 9709240446 MAIL ADDRESS: STREET 1: 123 TOWNPARK DRIVE, SUITE 300 CITY: KENNESAW STATE: GA ZIP: 30144 FORMER COMPANY: FORMER CONFORMED NAME: Athena Technology Acquisition Corp. DATE OF NAME CHANGE: 20210112 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2021-12-30 2022-01-04 0 0001840292 Heliogen, Inc. HLGN 0001079818 GROSS WILLIAM C/O HELIOGEN, INC. 130 WEST UNION STREET PASADENA CA 91103 1 1 0 0 Chief Executive Officer Common stock 2021-12-30 4 A 0 1589488 0.00 A 1589488 D Employee Stock Option (right to buy) 9.00 2021-12-30 4 A 0 10112732 A 2031-11-09 Common Stock 10112732 10112732 D Employee Stock Option (right to buy) 0.18 2021-12-30 4 A 0 5033213 A 2030-12-20 Common Stock 5033213 5033213 D Employee Stock Option (right to buy) 0.09 2021-12-30 4 A 0 4209710 A 2028-12-05 Common Stock 4209710 4209710 D Received on December 30, 2021 pursuant to that certain Business Combination Agreement ("Merger Agreement"), dated as of July 6, 2021, by and among Athena Technology Acquisition Corp., a Delaware corporation ("Athena"), HelioMax Merger Sub Inc., a Delaware corporation and a wholly-owned subsidiary of Athena, and Heliogen, Inc., a Delaware corporation ("Legacy Heliogen"), in exchange for Legacy Heliogen shares. The shares underlying the option shall vest in 48 equal monthly installments commencing December 30, 2021, subject to the Reporting Person's continuous service. Represents options issued by Legacy Heliogen and assumed by the Issuer on December 30, 2021 pursuant to the Merger Agreement. The shares underlying the option vested or shall vest in 48 equal monthly installments commencing December 21, 2020, subject to the Reporting Person's continuous service. The shares underlying the option vested or shall vest in 48 equal monthly installments commencing December 6, 2018, subject to the Reporting Person's continuous service. The original Form 4, filed on January 4, 2022, is being amended by this Form 4/A to correct the previously reported exercise price of the stock options. The number of shares underlying the stock options previously reported correctly accounted for the Exchange Ratio (as defined in the Merger Agreement). The exercise price for the stock options has now also been adjusted to reflect the Exchange Ratio. /s/ Dorothy Vinsky, Attorney-in-Fact 2022-01-07