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