0001213900-21-054213.txt : 20211022
0001213900-21-054213.hdr.sgml : 20211022
20211022163218
ACCESSION NUMBER: 0001213900-21-054213
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211022
FILED AS OF DATE: 20211022
DATE AS OF CHANGE: 20211022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KAGLE ROBERT
CENTRAL INDEX KEY: 0001183234
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40932
FILM NUMBER: 211340919
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GURLEY J WILLIAM
CENTRAL INDEX KEY: 0001190191
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40932
FILM NUMBER: 211340921
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BALKANSKI ALEXANDRE
CENTRAL INDEX KEY: 0001190192
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40932
FILM NUMBER: 211340924
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SPURLOCK STEVEN M
CENTRAL INDEX KEY: 0001190193
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40932
FILM NUMBER: 211340925
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DUNLEVIE BRUCE
CENTRAL INDEX KEY: 0001190211
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40932
FILM NUMBER: 211340923
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HARVEY KEVIN
CENTRAL INDEX KEY: 0001190213
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40932
FILM NUMBER: 211340920
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FENTON PETER H
CENTRAL INDEX KEY: 0001219230
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40932
FILM NUMBER: 211340922
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD
STREET 2: SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cohler Matt
CENTRAL INDEX KEY: 0001572685
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40932
FILM NUMBER: 211340918
MAIL ADDRESS:
STREET 1: 2480 SAND HILL ROAD, SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cyngn, Inc.
CENTRAL INDEX KEY: 0001874097
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371]
IRS NUMBER: 462007094
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 1015 O'BRIEN DRIVE
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-924-5905
MAIL ADDRESS:
STREET 1: 1015 O'BRIEN DRIVE
CITY: MENLO PARK
STATE: CA
ZIP: 94025
4
1
ownership.xml
X0306
4
2021-10-22
0
0001874097
Cyngn, Inc.
CYN
0001190193
SPURLOCK STEVEN M
C/O BENCHMARK
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001190192
BALKANSKI ALEXANDRE
C/O BENCHMARK
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001190211
DUNLEVIE BRUCE
C/O BENCHMARK
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001219230
FENTON PETER H
C/O BENCHMARK
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001190191
GURLEY J WILLIAM
C/O BENCHMARK
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001190213
HARVEY KEVIN
C/O BENCHMARK
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001183234
KAGLE ROBERT
C/O BENCHMARK
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
0001572685
Cohler Matt
C/O BENCHMARK
2965 WOODSIDE ROAD
WOODSIDE
CA
94062
0
0
1
0
Common Stock
2021-10-22
4
C
0
8038585
A
8038585
I
See footnotes
Common Stock
2021-10-22
4
C
0
692418
A
8731003
I
See footnotes
Common Stock
2021-10-22
4
C
0
217622
A
8948625
I
See footnotes
Common Stock
2021-10-22
4
C
0
290162
A
290162
I
See footnotes
Series A Preferred Stock
2021-10-22
4
C
0
8038585
0.00
D
Common Stock
8038585
0
I
See footnotes
Series B Preferred Stock
2021-10-22
4
C
0
692418
0.00
D
Common Stock
692418
0
I
See footnotes
Series C Preferred Stock
2021-10-22
4
C
0
217622
0.00
D
Common Stock
217622
0
I
See footnotes
Series C Preferred Stock
2021-10-22
4
C
0
290162
0.00
D
Common Stock
290162
0
I
See footnotes
All Series of convertible Preferred Stock automatically converted into shares of the Company's Common Stock on a 1-for-1 basis, without payment or further consideration, immediately prior to the consummation of the Company's initial public offering.
The shares are held by Benchmark Capital Partners VII, L.P. ("BCP VII"), for itself and as nominee for Benchmark Founders' Fund VII, L.P. ("BFF VII") and Benchmark Founders' Fund VII-B, L.P. ("BFF VII-B"). Benchmark Capital Management Co. VII, L.L.C. ("BCMC VII"), the general partner of each of BCP VII, BFF VII and BFF VII-B, may be deemed to have sole voting and dispositive power over such shares. Matthew R. Cohler, Bruce W. Dunlevie, Peter H. Fenton, J. William Gurley, Kevin R. Harvey, Mitchell H. Lasky (a member of the Issuer's board of directors) and Steven M. Spurlock, the managing members of BCMC VII, may be deemed to share voting and dispositive power over these shares beneficially held by such entities. Each such person and entity disclaims the existence of a "group" and disclaims beneficial ownership of any securities, except to the extent of such person's or entity's pecuniary interest in such securities.
The shares are held by Benchmark Capital Partners VI, L.P. ("BCP VI"), for itself and as nominee for Benchmark Founders' Fund VI, L.P. ("BFF VI"), Benchmark Founders' Fund VI-B, L.P. ("BFF VI-B") and related persons. Benchmark Capital Management Co. VI, L.L.C. ("BCMC VI"), the general partner of each of BCP VI, BFF VI and BFF VI-B, may be deemed to have sole voting and dispositive power over such shares. Alexandre Balkanski, Matthew R. Cohler, Bruce W. Dunlevie, Peter H. Fenton, J. William Gurley, Kevin R. Harvey, Robert C. Kagle, Mitchell H. Lasky (a member of the Issuer's board of directors) and Steven M. Spurlock, the managing members of BCMC VI, may be deemed to share voting and dispositive power over these shares beneficially held by such entities. Each such person and entity disclaims the existence of a "group" and disclaims beneficial ownership of any securities, except to the extent of such person or entity's pecuniary interest in such securities.
This report is one of three reports, each on a separate Form 4, but relating to the same holdings being filed by entities affiliated with Benchmark and their applicable members.
/s/ An-Yen Hu, by power of attorney for Steven M. Spurlock
2021-10-22
/s/ An-Yen Hu, by power of attorney for Alexandre Balkanski
2021-10-22
/s/ An-Yen Hu, by power of attorney for Bruce W. Dunlevie
2021-10-22
/s/ An-Yen Hu, by power of attorney for Peter H. Fenton
2021-10-22
/s/ An-Yen Hu, by power of attorney for J. William Gurley
2021-10-22
/s/ An-Yen Hu, by power of attorney for Kevin R. Harvey
2021-10-22
/s/ An-Yen Hu, by power of attorney for Robert C. Kagle
2021-10-22
/s/ An-Yen Hu, by power of attorney for Matt Cohler
2021-10-22