0001209191-21-064617.txt : 20211115 0001209191-21-064617.hdr.sgml : 20211115 20211115211659 ACCESSION NUMBER: 0001209191-21-064617 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: Mattson George N CENTRAL INDEX KEY: 0001559238 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39598 FILM NUMBER: 211413834 MAIL ADDRESS: STREET 1: C/O DELTA AIR LINES, INC. STREET 2: P.O. BOX 20574, DEPT. 981 CITY: ATLANTA STATE: GA ZIP: 30320 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 0001559238 Mattson George N C/O XOS, INC. 3550 TYBURN STREET, UNIT 100 LOS ANGELES CA 90065 1 0 0 0 Common Stock 27870 D Common Stock 2021-09-28 4 J 0 3937525 0.00 A 3937525 I By LLC Common Stock Warrant (Right to Buy) 11.50 2021-09-28 4 J 0 2660020 A 2021-09-20 2026-08-20 Common Stock 2660020 2660020 I By LLC 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 Is comprised of 3,937,525 shares and 2,660,020 warrants received as a liquidating distribution from NextGen Sponsor LLC. In prior reports, the Reporting Person reported beneficial ownership of 9,375,000 shares of Issuer's Common Stock held by the NextGen Sponsor LLC, of which the Reporting Person is Manager. Shares are held by NGAC GNM Feeder LLC and received as part of a 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. 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 George N. Mattson 2021-11-15