0001628280-24-027368.txt : 20240607 0001628280-24-027368.hdr.sgml : 20240607 20240607204237 ACCESSION NUMBER: 0001628280-24-027368 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240607 FILED AS OF DATE: 20240607 DATE AS OF CHANGE: 20240607 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: 241031256 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 wk-form4_1717807350.xml FORM 4 X0508 4 2024-06-07 0 0001899287 Amprius Technologies, Inc. AMPX 0001641982 MIRRO JUSTIN E 1433 OLD COUNTRY ROAD, SUITE 301 WESTBURY NY 11590 1 0 0 0 0 Common stock 2024-06-07 4 A 0 125000 0 A 142895 D Common stock 2067142 I See footnote Common stock 1785000 I See footnote The securities are represented by restricted stock units. Each restricted stock unit represents the reporting person's right to receive one share of issuer's common stock. 100% of the restricted stock units vest on the earlier of (i) the one-year anniversary of the date the restricted stock units were granted and (ii) the day before the next annual meeting of stockholders, subject to the reporting person's continued service as of the vesting date. 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 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. 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/ Sandra Wallach, attorney-in-fact on behalf of Justin Mirro 2024-06-07