0001628280-24-027370.txt : 20240607 0001628280-24-027370.hdr.sgml : 20240607 20240607204323 ACCESSION NUMBER: 0001628280-24-027370 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: Gustanski Mary CENTRAL INDEX KEY: 0001725164 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41314 FILM NUMBER: 241031260 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] 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_1717807396.xml FORM 4 X0508 4 2024-06-07 0 0001899287 Amprius Technologies, Inc. AMPX 0001725164 Gustanski Mary 1180 PAGE AVE FREMONT CA 94538 1 0 0 0 0 Common stock 2024-06-07 4 A 0 114583 0 A 146396 D 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 114,583 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 2024-06-07