0001209191-21-064562.txt : 20211115
0001209191-21-064562.hdr.sgml : 20211115
20211115185359
ACCESSION NUMBER: 0001209191-21-064562
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211110
FILED AS OF DATE: 20211115
DATE AS OF CHANGE: 20211115
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MATHEW SARA
CENTRAL INDEX KEY: 0001192748
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39598
FILM NUMBER: 211413432
MAIL ADDRESS:
STREET 1: CAMPBELL SOUP COMPANY
STREET 2: ONE CAMPBELL PLACE
CITY: CAMDEN
STATE: NJ
ZIP: 08103
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Xos, Inc.
CENTRAL INDEX KEY: 0001819493
STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714]
IRS NUMBER: 981550505
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3550 TYBURN STREET, SUITE 100
CITY: LOS ANGELES
STATE: CA
ZIP: 90065
BUSINESS PHONE: (617) 229-6320
MAIL ADDRESS:
STREET 1: 3550 TYBURN STREET, SUITE 100
CITY: LOS ANGELES
STATE: CA
ZIP: 90065
FORMER COMPANY:
FORMER CONFORMED NAME: NextGen Acquisition Corp
DATE OF NAME CHANGE: 20200729
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-11-10
0
0001819493
Xos, Inc.
XOS
0001192748
MATHEW SARA
C/O XOS, INC.
3550 TYBURN STREET, UNIT 100
LOS ANGELES
CA
90065
1
0
0
0
Common Stock
2021-09-28
4
A
0
296053
A
296053
I
By Trust
Common Stock Warrant (Right to Buy)
11.50
2021-09-28
4
P
0
199997
A
2021-09-20
2026-08-20
Common Stock
199997
199997
I
By Trust
Restricted Stock Unit
2021-11-10
4
A
0
57229
A
Common Stock
57229
57229
D
Restricted Stock Unit
2021-11-10
4
A
0
31794
A
Common Stock
31794
31794
D
Pro rata distribution by NextGen Sponsor LLC of all of its securities of Xos, Inc., which is exempt from Section 16 by 17 CFR 240.16a-9. The transaction is being voluntarily reported for informational purposes only.
Shares are held by the Jacob Mathew 2020 Irrevocable Trust ("Mathew Trust"), of which the Reporting Person is trustee.
The price is N/A.
The restricted stock units vest in a series of three equal annual installments on each of the first, second and third year anniversaries of the grant date of November 10, 2021 (the "Grant Date"), subject to such individual's continuous service with Xos, Inc. through such vesting date.
Date is N/A.
The restricted stock units vest on the earlier of (i) the first anniversary of the Grant Date and (ii) the day before the next annual meeting of Xos, Inc. following the Grant Date, subject to such individual's continuous service with Xos, Inc. through the vesting date.
/s/ Kris Tsao Cachia, Attorney-in-Fact for S. Sara Mathew
2021-11-15