0001628280-20-016725.txt : 20201123 0001628280-20-016725.hdr.sgml : 20201123 20201123171507 ACCESSION NUMBER: 0001628280-20-016725 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201120 FILED AS OF DATE: 20201123 DATE AS OF CHANGE: 20201123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Samuels H. Benjamin CENTRAL INDEX KEY: 0001661669 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37673 FILM NUMBER: 201338905 MAIL ADDRESS: STREET 1: C/O WORKHORSE GROUP INC. STREET 2: 100 COMMERCE DRIVE CITY: LOVELAND STATE: OH ZIP: 45140 FORMER NAME: FORMER CONFORMED NAME: Samuels Benjamin H. DATE OF NAME CHANGE: 20151222 FORMER NAME: FORMER CONFORMED NAME: Samules H. Benjamin DATE OF NAME CHANGE: 20151222 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Workhorse Group Inc. CENTRAL INDEX KEY: 0001425287 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 261394771 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 COMMERCE DRIVE CITY: LOVELAND STATE: OH ZIP: 45140 BUSINESS PHONE: 513-360-4704 MAIL ADDRESS: STREET 1: 100 COMMERCE DRIVE CITY: LOVELAND STATE: OH ZIP: 45140 FORMER COMPANY: FORMER CONFORMED NAME: AMP Holding Inc. DATE OF NAME CHANGE: 20100525 FORMER COMPANY: FORMER CONFORMED NAME: Title Starts Online, Inc. DATE OF NAME CHANGE: 20080128 4 1 wf-form4_160616969447192.xml FORM 4 X0306 4 2020-11-20 0 0001425287 Workhorse Group Inc. WKHS 0001661669 Samuels H. Benjamin C/O WORKHORSE GROUP INC., 100 COMMERCE DRIVE LOVELAND OH 45140 1 0 0 0 Common Stock, $0.001 par value per share 2020-11-20 4 S 0 33333 25.0037 D 560368 D Common Stock, $0.001 par value per share 2020-11-20 4 S 0 33333 25.0257 D 612086 I See Footnote Common Stock, $0.001 par value per share 2020-11-20 4 S 0 33333 25.002 D 387631 I See Footnote On November 9, 2015, Samuels 2012 Children's Trust UAD 10/28/12 (the "Trust") acquired a Stock Purchase Warrant to acquire 428,571 shares of common stock (the "Initial Warrant"). On December 4, 2015, the Trust acquired a Stock Purchase Warrant to acquire 142,857 shares of common stock. On January 5, 2016, convertible notes held by the Trust were automatically converted into 571,429 shares of common stock. Further, on September 14, 2016, the Trust exercised the Initial Warrant and received 143,500 shares of common stock for a purchase price of $757,680 or $5.28 per share and on November 18, 2016 the Trust exercised the Initial Warrant and received 47,604 shares of common stock for a purchase price of $251,349 or $5.28 per share. On February 11, 2019, the Marci Rosenberg 2012 Family Trust acquired 420,967 shares of common stock. Marci Rosenberg is the trustee of such trust. Mr. Rosenberg is the wife of H. Benjamin Samuels, a director of the Company. /s/ H. Benjamin Samuels 2020-11-23