0001209191-21-053165.txt : 20210824
0001209191-21-053165.hdr.sgml : 20210824
20210824170134
ACCESSION NUMBER: 0001209191-21-053165
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20210820
FILED AS OF DATE: 20210824
DATE AS OF CHANGE: 20210824
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Emerald Green Trust
CENTRAL INDEX KEY: 0001879464
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39598
FILM NUMBER: 211202831
BUSINESS ADDRESS:
STREET 1: 3211 MULHOLLAND HIGHWAY
CITY: MALIBU
STATE: CA
ZIP: 90265
BUSINESS PHONE: 818-316-1890
MAIL ADDRESS:
STREET 1: 3211 MULHOLLAND HIGHWAY
CITY: MALIBU
STATE: CA
ZIP: 90265
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Xos, Inc.
CENTRAL INDEX KEY: 0001819493
STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714]
IRS NUMBER: 981550505
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3550 TYBURN STREET, SUITE 100
CITY: LOS ANGELES
STATE: CA
ZIP: 90065
BUSINESS PHONE: (617) 229-6320
MAIL ADDRESS:
STREET 1: 3550 TYBURN STREET, SUITE 100
CITY: LOS ANGELES
STATE: CA
ZIP: 90065
FORMER COMPANY:
FORMER CONFORMED NAME: NextGen Acquisition Corp
DATE OF NAME CHANGE: 20200729
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-08-20
0
0001819493
Xos, Inc.
XOS
0001879464
Emerald Green Trust
C/O XOS, INC.
3550 TYBURN STREET, UNIT 100
LOS ANGELES
CA
90065
0
0
1
0
Common Stock
53745903
D
Received pursuant to the Agreement and Plan of Merger, dated as of February 21, 2021, as amended on May 14, 2021, by and among NextGen
Acquisition Corporation ("Acquiror"), Sky Merger Sub I, Inc., a Delaware corporation and wholly owned subsidiary of Acquiror ("Merger Sub") and
Xos, Inc. ("Xos"), pursuant to which Merger Sub was merged with and into Xos, whereupon the separate existence of Merger Sub ceased and
Xos became the surviving company and continued in existence as a subsidiary of Acquiror, which subsequently changed its name to Xos, Inc.
(the "Issuer").
Dakota Semler, the Issuer's Chief Executive Officer and director, may be deemed to beneficially own securities held by Emerald Green Trust by virtue of his shared control over such entity.
Emerald Green Trust, by /s/ Kim Merritt, Attorney-in-Fact
2021-08-24
EX-24.3_1005563
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and appoints
Christen Romero and Justin Liu of Xos, Inc. (the "Company") and Kris Tsao Cachia
and Kim Merritt of Cooley LLP, signing individually, as the undersigned's true
and lawful attorneys-in fact and agents to:
(1) execute for and on behalf of the undersigned, an officer, director or holder
of 10% of more of a registered class of securities of the Company, Forms 3, 4
and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934,
as amended (the "Exchange Act") and the rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned that
may be necessary or desirable to complete and execute such Form 3, 4 or 5,
complete and execute any amendment or amendments thereto, and timely file such
forms or amendments with the United States Securities and Exchange Commission
and any stock exchange or similar authority; and
(3) take any other action of any nature whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit, in
the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, and
their substitutes, in serving in such capacity at the request of the
undersigned, are not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until the earliest
to occur of (a) the undersigned is no longer required to file Forms 3, 4 and 5
with respect to the undersigned's holdings of and transactions in securities
issued by the Company, (b) revocation by the undersigned in a signed writing
delivered to the foregoing attorney-in-fact or (c) as to any attorney-in-fact
individually, until such attorney-in-fact is no longer employed by the Company
or employed by or a partner at Cooley LLP, or another law firm representing the
Company, as applicable.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of August 18, 2021.
Emerald Green Trust
By: /s/ Shane Semler
Title: Authorized Signatory