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