SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
CROWLEY TIMOTHY AMBROSE

(Last) (First) (Middle)
C/O LITHIUM AMERICAS CORP.
5310 KIETZKE LANE, SUITE 200

(Street)
RENO NV 89511

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/31/2024
3. Issuer Name and Ticker or Trading Symbol
LITHIUM AMERICAS CORP. [ LAC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, Gov & External Affairs
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Shares 84,988 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Share Units(1) (2) (2) Common Shares 19,886 $0 D
Restricted Share Units(1) (3) (3) Common Shares 34,251 $0 D
Restricted Share Units(1) (4) (4) Common Shares 7,836 $0 D
Restricted Share Units(1) (5) (5) Common Shares 6,032 $0 D
Explanation of Responses:
1. Each restricted share unit ("RSU") represents a contingent right to receive one share of the Issuer's common stock.
2. Represents grant of RSUs on January 23, 2024, which vest as follows: 1/3 on January 23, 2025; 1/3 on January 23, 2026; and 1/3 on January 23, 2027. As of the date of this Form 3, 19,886 unvested RSUs remain.
3. Represents grant of RSUs on October 24, 2023, which vest as follows: 1/3 on October 24, 2024; 1/3 on October 24, 2025; and 1/3 on October 24, 2026. As of the date of this Form 3, 34,251 RSUs remain unvested.
4. Represents grant of RSUs on February 9, 2023, which vest as follows: 1/3 on February 9, 2024; 1/3 on February 9, 2025; and 1/3 on February 9, 2026. As of the date of this Form 3, 7,836 unvested RSUs remain.
5. Represents grant of RSUs on January 31, 2022, which vest as follows: 1/3 on January 31, 2023; 1/3 on January 31, 2024; and 1/3 on January 31, 2025. As of the date of this Form 3, 6,032 unvested RSUs remain.
Remarks:
Exhibit 24.1 Power of Attorney
/s/ Tereza Fonda as attorney-in-fact for Timothy Ambrose Crowley 12/31/2024
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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