0001127602-22-027245.txt : 20221209 0001127602-22-027245.hdr.sgml : 20221209 20221209190016 ACCESSION NUMBER: 0001127602-22-027245 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221102 FILED AS OF DATE: 20221209 DATE AS OF CHANGE: 20221209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gauche Paul CENTRAL INDEX KEY: 0001941959 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40209 FILM NUMBER: 221455885 MAIL ADDRESS: STREET 1: 130 WEST UNION STREET CITY: PASADENA STATE: CA ZIP: 91103 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 2022-11-02 0001840292 Heliogen, Inc. HLGN 0001941959 Gauche Paul C/O HELIOGEN, INC. 130 WEST UNION ST. PASADENA CA 91103 1 Executive VP, Engineering Common Stock 2022-11-02 4 A 0 200000 0 A 206336 D Consists of 200,000 restricted stock units ("RSUs") granted to the Reporting Person under the Issuer's 2021 Equity Incentive Plan (the "Plan"). Six and one quarter percent (6.25%) of the shares underlying the RSUs initially granted vest in quarterly installments with the first installment vesting as of September 15, 2022, subject to the Reporting Person's continuous service. The RSUs are payable in an equivalent number of shares of common stock of the Issuer. Also includes 6,336 RSUs vesting on January 1, 2023, subject to the Reporting Person's continuous service as defined in the Plan through such vesting date. The RSUs are payable in an equivalent number of shares of common stock of the Issuer. /s/ Deborah Chen, Attorney-in-Fact 2022-12-09