0001140361-24-034256.txt : 20240725
0001140361-24-034256.hdr.sgml : 20240725
20240725204003
ACCESSION NUMBER: 0001140361-24-034256
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240723
FILED AS OF DATE: 20240725
DATE AS OF CHANGE: 20240725
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MIRRO JUSTIN E
CENTRAL INDEX KEY: 0001641982
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41314
FILM NUMBER: 241143366
MAIL ADDRESS:
STREET 1: 40300 TRADITIONS DRIVE
CITY: NORTHVILLE
STATE: MI
ZIP: 48168
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Amprius Technologies, Inc.
CENTRAL INDEX KEY: 0001899287
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690]
ORGANIZATION NAME: 04 Manufacturing
IRS NUMBER: 981591811
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1180 PAGE AVENUE
CITY: FREMONT
STATE: CA
ZIP: 94538
BUSINESS PHONE: (800) 425-8803
MAIL ADDRESS:
STREET 1: 1180 PAGE AVENUE
CITY: FREMONT
STATE: CA
ZIP: 94538
FORMER COMPANY:
FORMER CONFORMED NAME: Kensington Capital Acquisition Corp. IV
DATE OF NAME CHANGE: 20211214
4
1
form4.xml
FORM 4
X0508
4
2024-07-23
0001899287
Amprius Technologies, Inc.
AMPX
0001641982
MIRRO JUSTIN E
1433 OLD COUNTRY ROAD, SUITE 301
WESTBURY
NY
11590
true
false
Common Stock
2024-07-23
4
A
0
925900
A
2393042
I
See Footnote
Common Stock
142895
D
Common Stock
1585000
I
See Footnote
Warrants (right to buy)
2024-07-23
4
D
0
4700000
D
2022-10-14
2027-09-14
Common Stock
4700000
0
I
See Footnote
Warrants (right to buy)
11.5
2022-10-14
2027-09-14
Common Stock
200000
200000
D
The reporting person received 925,900 shares of common stock in exchange for warrants to purchase 4,700,000 shares of common stock. The warrants were referred to as "Private Warrants" of the Issuer.
The securities are owned by Kensington Capital Partners, LLC, of which the reporting person is the managing member. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
Pursuant to the Issuer's offer (the "Offer") to holders of its outstanding Private Warrants, the Issuer offered to exchange 0.197 shares of the Issuer's common stock for each Private Warrant exercisable for one share of the Issuer's common stock upon the terms set forth in the Issuer's Offer to Exchange Private Warrants to Acquire Common Stock filed as an exhibit to the Issuer's Schedule TO filed with the Securities and Exchange Commission on June 24, 2024.
The securities were in September 2022 distributed in-kind, pro-rata and for no additional consideration to the members (one of whom was Kensington Capital Partners, LLC) of Kensington Capital Sponsor IV, LLC in connection with its liquidating distribution.
Includes 125,000 restricted stock units, each of which represents a contingent right to receive one share of the issuer's common stock, subject to the applicable vesting schedule and conditions of each restricted stock unit.
The shares are owned by Elizabeth Mirro as trustee of the Kensington Capital Trust dated 6/27/20. Elizabeth Mirro is the reporting person's spouse. The reporting person disclaims beneficial ownership of these securities.
/s/ Justin Mirro
2024-07-25