0001213900-21-049610.txt : 20210923 0001213900-21-049610.hdr.sgml : 20210923 20210923174756 ACCESSION NUMBER: 0001213900-21-049610 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210730 FILED AS OF DATE: 20210923 DATE AS OF CHANGE: 20210923 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Thomas Matthew CENTRAL INDEX KEY: 0001828089 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38615 FILM NUMBER: 211273400 MAIL ADDRESS: STREET 1: 527 21ST STREET CITY: HUNTINGTON BEACH STATE: CA ZIP: 92648 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tattooed Chef, Inc. CENTRAL INDEX KEY: 0001741231 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FOOD PREPARATIONS & KINDRED PRODUCTS [2090] IRS NUMBER: 825457906 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6305 ALONDRA BLVD. CITY: PARAMOUNT STATE: CA ZIP: 90723 BUSINESS PHONE: (949) 500-4455 MAIL ADDRESS: STREET 1: 6305 ALONDRA BLVD. CITY: PARAMOUNT STATE: CA ZIP: 90723 FORMER COMPANY: FORMER CONFORMED NAME: Forum Merger II Corp DATE OF NAME CHANGE: 20180518 4 1 ownership.xml OWNERSHIP DOCUMENT X0306 4 2021-07-30 0 0001741231 Tattooed Chef, Inc. TTCF 0001828089 Williams Thomas Matthew 6305 ALONDRA BLVD. PARAMOUNT CA 90723 0 1 0 0 Chief Growth Officer Employee Stock Option (right to buy) 19.72 2021-07-30 4 A 0 90000 0 A 2031-07-30 Common Stock 90000 90000 D The option vests in three equal annual installments on the first, second, and third anniversary of the date of grant. The option was granted under the Issuer's 2020 Incentive Award Plan in a transaction exempt under Rule 16b-3. /s/ Stephanie Dieckmann as attorney-in-fact for Thomas Matthew Williams 2021-09-23