SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Follmann Christian

(Last) (First) (Middle)
C/O HERCULES CAPITAL, INC.
400 HAMILTON AVENUE, SUITE 310

(Street)
PALO ALTO CA 94301

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/01/2022
3. Issuer Name and Ticker or Trading Symbol
Hercules Capital, Inc. [ HTGC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 49,045(1) D
Restricted Stock Units 413(2) D
Common Stock 350 I By Spouse
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Includes 4,830 shares of unvested restricted stock from a previous grant of 14,488 shares granted on January 13, 2020, 9,596 shares of unvested restricted stock from a previous grant of 14,393 shares granted on January 12, 2021 and 14,286 shares of unvested restricted stock from a previous grant of 14,286 shares granted on January 11, 2022 issued under the 2018 Amended Equity Incentive Plan. Each grant vests as to one third of the shares upon the first anniversary of the grant date followed by equal quarterly vestings over two years.
2. Unvested restricted stock units and dividend equivalent shares from a previous grant of 4,000 shares granted on April 24, 2019 issued under the 2018 Amended Equity Incentive Plan that vests as to one third of the shares upon the first anniversary of the grant date followed by equal quarterly vestings over two years.
Remarks:
/s /Eileen Bagarella, Attorney-in-Fact for Christian Follmann 02/02/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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