0001213900-23-085387.txt : 20231109 0001213900-23-085387.hdr.sgml : 20231109 20231109193013 ACCESSION NUMBER: 0001213900-23-085387 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231107 FILED AS OF DATE: 20231109 DATE AS OF CHANGE: 20231109 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: 231394249 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 FISCAL YEAR END: 1231 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 X0508 4 2023-11-07 0 0001874097 Cyngn Inc. CYN 0001889093 Landen Ben 1015 O'BRIEN DR. MENLO PARK CA 94025 0 1 0 0 VP of Business Development 0 Employee Stock Option (right to buy) 0.251 2023-11-07 4 A 0 99000 0 A 2033-11-06 Common Stock 99000 99000 D 1/48th of the shares subject to the stock option will vest and become exercisable in monthly installments, commencing on the grant date. /s/ Ben Landen 2023-11-09