0001213900-21-005560.txt : 20210201
0001213900-21-005560.hdr.sgml : 20210201
20210201061157
ACCESSION NUMBER: 0001213900-21-005560
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210128
FILED AS OF DATE: 20210201
DATE AS OF CHANGE: 20210201
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CROXALL DOUGLAS B
CENTRAL INDEX KEY: 0001331155
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39924
FILM NUMBER: 21574195
MAIL ADDRESS:
STREET 1: 2331 MILL ROAD SUITE 100
CITY: ALEXANDRIA
STATE: VA
ZIP: 22314
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Crown Electrokinetics Corp.
CENTRAL INDEX KEY: 0001761696
STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679]
IRS NUMBER: 475423944
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0331
BUSINESS ADDRESS:
STREET 1: 1110 NE CIRCLE BLVD
CITY: CORVALLIS
STATE: OR
ZIP: 97330
BUSINESS PHONE: 800-674-3612
MAIL ADDRESS:
STREET 1: 1110 NE CIRCLE BLVD
CITY: CORVALLIS
STATE: OR
ZIP: 97330
3
1
ownership.xml
X0206
3
2021-01-28
0
0001761696
Crown Electrokinetics Corp.
CRKN
0001331155
CROXALL DOUGLAS B
C/O CROWN ELECTROKINETICS CORP.
1110 NE CIRCLE BLVD.
CORVALLIS
OR
97330
0
1
1
0
Chief Executive Officer
Common Stock
1829294
I
In Trust
Call Option
0.15
2028-02-28
Common Stock
166666
D
Call Option
1.20
2029-01-17
Common Stock
250000
D
Call Option
2.25
2030-04-13
Common Stock
1083333
D
Call Option
3.60
2030-12-30
Common Stock
1381967
D
Call Option
3.60
2030-12-30
Common Stock
485371
D
Consists of 1,302,628 shares of restricted stock, all of which has vested.
Granted pursuant to the Issuer's 2016 Equity Incentive Plan.
Options to purchase shares of the Issuer's Common Stock have vested and are currently exercisable.
Options to purchase shares of the Issuer Common Stock granted on December 30, 2020 vest thirty (30) days after the date of such grant.
Granted pursuant to the Issuer's 2020 Employee Incentive Plan
/s/ Doug Croxall
2021-01-29