0001213900-22-043313.txt : 20220801 0001213900-22-043313.hdr.sgml : 20220801 20220801140206 ACCESSION NUMBER: 0001213900-22-043313 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220727 FILED AS OF DATE: 20220801 DATE AS OF CHANGE: 20220801 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Landen Ben CENTRAL INDEX KEY: 0001889093 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40932 FILM NUMBER: 221123945 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 2022-07-27 0 0001874097 Cyngn Inc. CYN 0001889093 Landen Ben 1015 O'BRIEN DR. MENLO PARK CA 94025 0 1 0 0 VP of Business Development Common Stock 2022-07-27 4 M 0 40000 0.23 A 40000 D Stock Options 0.23 2022-07-27 4 M 0 40000 0 D 2020-09-23 2029-09-23 Common Stock 40000 110000 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/ Ben Landen 2022-08-01