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