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