0001628280-23-022234.txt : 20230615
0001628280-23-022234.hdr.sgml : 20230615
20230615161916
ACCESSION NUMBER: 0001628280-23-022234
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230614
FILED AS OF DATE: 20230615
DATE AS OF CHANGE: 20230615
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gustanski Mary
CENTRAL INDEX KEY: 0001725164
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41314
FILM NUMBER: 231017600
MAIL ADDRESS:
STREET 1: C/O DELPHI TECHNOLOGIES PLC
STREET 2: COURTENEY ROAD HOATH WAY
CITY: GILLINGHAM, KENT
STATE: X0
ZIP: X0 ME8 0RU
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Amprius Technologies, Inc.
CENTRAL INDEX KEY: 0001899287
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690]
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
wf-form4_168686034388341.xml
FORM 4
X0407
4
2023-06-14
0
0001899287
Amprius Technologies, Inc.
AMPX
0001725164
Gustanski Mary
1180 PAGE AVE
FREMONT
CA
94538
1
0
0
0
0
Common stock
2023-06-14
4
A
0
31813
0
A
31813
D
The securities are represented by restricted stock units Each restricted stock unit represents a contingent right to receive one share of the issuer's common stock. The restricted stock units vest in three equal annual installments on June 14, 2024, June 14, 2025 and June 14, 2026, subject to the reporting person's continued service on each applicable vesting date.
Includes 31,813 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.
/s/ Sandra Wallach, attorney-in-fact on behalf of Mary Gustanski
2023-06-15