0001567619-21-016592.txt : 20210901 0001567619-21-016592.hdr.sgml : 20210901 20210901171132 ACCESSION NUMBER: 0001567619-21-016592 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210830 FILED AS OF DATE: 20210901 DATE AS OF CHANGE: 20210901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Adjemian Kevork Tro CENTRAL INDEX KEY: 0001869016 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39457 FILM NUMBER: 211230985 MAIL ADDRESS: STREET 1: 1055 W. SQUARE LAKE ROAD CITY: TROY STATE: MI ZIP: 48098 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Electric Last Mile Solutions, Inc. CENTRAL INDEX KEY: 0001784168 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1055 W. SQUARE LAKE ROAD CITY: TROY STATE: MI ZIP: 48098 BUSINESS PHONE: 888-825-9111 MAIL ADDRESS: STREET 1: 1055 W. SQUARE LAKE ROAD CITY: TROY STATE: MI ZIP: 48098 FORMER COMPANY: FORMER CONFORMED NAME: Forum Merger III Corp DATE OF NAME CHANGE: 20190731 4 1 doc1.xml FORM 4 X0306 4 2021-08-30 0 0001784168 Electric Last Mile Solutions, Inc. ELMS 0001869016 Adjemian Kevork Tro 1055 W SQUARE LAKE ROAD TROY MI 48098 0 1 0 0 Chief Technical Officer Common Stock 55044 I by KA Trust Employee Restricted Stock Unit 2021-08-30 4 A 0 37500 0 A Common Stock 37500 37500 D Earnout Restricted Stock Unit 2021-08-30 4 A 0 40000 0 A Common Stock 40000 40000 D The reporting person has sole voting and investment power with respect to the shares of common stock held by the KA Trust. Each restricted stock unit represents the contingent right to receive one share of common stock upon vesting. Restricted stock units will vest with respect to 33 1/3% on each of January 2, 2022, January 2, 2023 and January 2, 2024, subject to continued employment. 50% of the restricted stock units will be deemed earned and vested if the closing price per share of common stock of the Issuer on any 20 trading days in any 30-consecutive day trading period equals or exceeds (i) $14.00 or (ii) $16.00, respectively, subject to continued employment. /s/ Benjamin Wu, attorney-in-fact for Kevork Tro Adjemian 2021-09-01