0001213900-22-005332.txt : 20220203 0001213900-22-005332.hdr.sgml : 20220203 20220203191251 ACCESSION NUMBER: 0001213900-22-005332 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220202 FILED AS OF DATE: 20220203 DATE AS OF CHANGE: 20220203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tal Lior CENTRAL INDEX KEY: 0001889113 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40932 FILM NUMBER: 22590316 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: 1015 O'BRIEN DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-924-5905 MAIL ADDRESS: STREET 1: 1015 O'BRIEN DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER COMPANY: FORMER CONFORMED NAME: Cyngn, Inc. DATE OF NAME CHANGE: 20210721 4 1 ownership.xml X0306 4 2022-02-02 0 0001874097 Cyngn Inc. CYN 0001889113 Tal Lior 1015 O'BRIEN DR. MENLO PARK CA 94025 1 1 1 0 Chief Executive Officer Common Stock 2022-02-02 4 M 0 500000 0.13 A 500000 D Stock Options 0.13 2022-02-02 4 M 0 500000 0.13 D 2018-03-23 2028-03-22 Common Stock 953789 453789 D Common Stock was issued to Reporting Person upon the exercise of stock options. The Reporting Person has no present intention to sell the shares of common stock acquired upon exercise of the stock options. /s/ Lior Tal 2022-02-03