0001213900-21-053537.txt : 20211019
0001213900-21-053537.hdr.sgml : 20211019
20211019170752
ACCESSION NUMBER: 0001213900-21-053537
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211019
FILED AS OF DATE: 20211019
DATE AS OF CHANGE: 20211019
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tal Lior
CENTRAL INDEX KEY: 0001889113
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40932
FILM NUMBER: 211331821
MAIL ADDRESS:
STREET 1: 1015 O'BRIEN DRIVE
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cyngn, Inc.
CENTRAL INDEX KEY: 0001874097
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371]
IRS NUMBER: 462007094
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 1012 O'BRIEN DRIVE
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-924-5905
MAIL ADDRESS:
STREET 1: 1012 O'BRIEN DRIVE
CITY: MENLO PARK
STATE: CA
ZIP: 94025
3
1
ownership.xml
X0206
3
2021-10-19
0
0001874097
Cyngn, Inc.
CYN
0001889113
Tal Lior
1015 O'BRIEN DR.
MENLO PARK
CA
94025
1
1
1
0
Chief Executive Officer
Stock Options
0.13
2018-03-23
2028-03-22
Common Stock
953789
D
Stock Options
0.13
2018-03-23
2027-04-05
Common Stock
2424215
D
Stock Options
0.22
2018-05-31
2028-05-30
Common Stock
1987000
D
Stock Options
2.88
2021-07-26
2031-07-25
Common Stock
1600000
D
These options are fully vested.
On the first year anniversary of the date of grant of July 26, 2021, 400,000 shares of the total option will vest. Thereafter, for the next 12 months, 33,333 shares shall vest monthly, such that on the second anniversary of the date of grant an additional 400,000 shares of the total option will vest. Thereafter, for the next 48 months 16,667 shares of the option will vest monthly until the option is fully vested on the 6th anniversary of the date of grant.
/s/ Lior Tal
2021-10-19