0001209191-21-070338.txt : 20211217 0001209191-21-070338.hdr.sgml : 20211217 20211217170541 ACCESSION NUMBER: 0001209191-21-070338 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211216 FILED AS OF DATE: 20211217 DATE AS OF CHANGE: 20211217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bissell John CENTRAL INDEX KEY: 0001863704 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39378 FILM NUMBER: 211502455 MAIL ADDRESS: STREET 1: C/O ORIGIN MATERIALS, INC. STREET 2: 930 RIVERSIDE PKWY #10 CITY: WEST SACRAMENTO STATE: CA ZIP: 95605 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Origin Materials, Inc. CENTRAL INDEX KEY: 0001802457 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL ORGANIC CHEMICALS [2860] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 930 RIVERSIDE PARKWAY STREET 2: SUITE 10 CITY: WEST SACRAMENTO STATE: CA ZIP: 95605 BUSINESS PHONE: 916-231-9329 MAIL ADDRESS: STREET 1: 930 RIVERSIDE PARKWAY STREET 2: SUITE 10 CITY: WEST SACRAMENTO STATE: CA ZIP: 95605 FORMER COMPANY: FORMER CONFORMED NAME: Artius Acquisition Inc. DATE OF NAME CHANGE: 20200205 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-16 0 0001802457 Origin Materials, Inc. ORGN 0001863704 Bissell John C/O ORIGIN MATERIALS, INC. 930 RIVERSIDE PARKWAY, SUITE 10 WEST SACRAMENTO CA 95605 1 1 0 0 Co-CEO and Director Common Stock 2021-12-16 4 M 0 30000 0.28 A 715963 D Stock Option (Right to Buy) 0.28 2021-12-16 4 M 0 30000 0.00 D 2016-05-25 2022-06-14 Common Stock 30000 357565 D This Stock Option is fully vested and exercisable. John Bissell, by /s/ Ron A. Metzger, Attorney-in-Fact 2021-12-17