0001127602-22-019627.txt : 20220721 0001127602-22-019627.hdr.sgml : 20220721 20220721194259 ACCESSION NUMBER: 0001127602-22-019627 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220719 FILED AS OF DATE: 20220721 DATE AS OF CHANGE: 20220721 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Abrams Stacey Y. CENTRAL INDEX KEY: 0001884871 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40209 FILM NUMBER: 221098184 MAIL ADDRESS: STREET 1: 125 TOWNPARK DRIVE STREET 2: SUITE 300 CITY: KENNESAW STATE: GA ZIP: 30144 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Heliogen, Inc. CENTRAL INDEX KEY: 0001840292 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC SERVICES [4911] IRS NUMBER: 854204953 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 130 W UNION ST. CITY: PASADENA STATE: CA ZIP: 91103 BUSINESS PHONE: 9709240446 MAIL ADDRESS: STREET 1: 130 W UNION ST. CITY: PASADENA STATE: CA ZIP: 91103 FORMER COMPANY: FORMER CONFORMED NAME: Athena Technology Acquisition Corp. DATE OF NAME CHANGE: 20210112 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2022-07-19 0001840292 Heliogen, Inc. HLGN 0001884871 Abrams Stacey Y. C/O HELIOGEN, INC. 130 WEST UNION ST PASADENA CA 91103 1 Common Stock 2022-07-19 4 A 0 99009 0 A 139413 D Common Stock 15000 I By Brockington Hall, LLC Consists of 99,009 restricted stock units ("RSUs") granted to the Reporting Person under the 2021 Equity Incentive Plan (the "Plan"), pursuant to the Non-Employee Director Compensation Policy of the Issuer, vesting on the earlier of (i) July 19, 2023 and (ii) the day before the Issuer's next annual meeting of shareholders after the grant date, in each case, subject to the Reporting Person's continuous service as defined in the Plan through the vesting date. The RSUs are payable in an equivalent number of shares of common stock of the Issuer. Also includes 40,404 RSUs vesting in three equal annual installments commencing on December 31, 2022, subject to the Reporting Person's continuous service as defined in the Plan through each vesting date. The RSUs are payable in an equivalent number of shares of common stock of the Issuer. Shares are held by Brockington Hall, LLC ("Brockington"). The Reporting Person has voting and/or investment control over the securities held by Brockington and may be deemed to beneficially own the securities owned by Brockington. /s/ Alexander Gefter, Attorney in Fact 2022-07-21