0001127602-23-022151.txt : 20230807
0001127602-23-022151.hdr.sgml : 20230807
20230807172237
ACCESSION NUMBER: 0001127602-23-022151
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230803
FILED AS OF DATE: 20230807
DATE AS OF CHANGE: 20230807
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Newhouse Phyllis W.
CENTRAL INDEX KEY: 0001847751
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40209
FILM NUMBER: 231148582
MAIL ADDRESS:
STREET 1: 125 TOWNPARK DRIVE, 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
X0508
4
2023-08-03
0001840292
Heliogen, Inc.
HLGN
0001847751
Newhouse Phyllis W.
C/O HELIOGEN, INC. 130 WEST UNION ST
PASADENA
CA
91103
1
0
Common Stock
2023-08-03
4
A
0
75000
0
A
4266402
D
Common Stock
246483
I
See Footnote
Consists of 75,000 restricted stock units ("RSUs") granted to the Reporting Person under the 2021 Equity Incentive Plan (the "Plan"), pursuant to the Amended and Restated Non-Employee Director Compensation Policy of the Issuer, vesting on the earlier of (i) August 3, 2024 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 granted to the Reporting Person under the Plan vesting in three equal annual installments such that the RSUs are fully vested on December 31, 2024, 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.
The reportable securities are held by a grantor retained annuity trust, the EVN 2022 GRAT fbo Ezekiel Newhouse, for which the Reporting Person serves as trustee.
/s/ Alexander Gefter, Attorney in Fact
2023-08-07