SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP


Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
Sun Kang

(Last) (First) (Middle)
C/O AMPRIUS TECHNOLOGIES, INC.,
1180 PAGE AVENUE

(Street)
FREMONT CA 94538

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Amprius Technologies, Inc. [ AMPX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
10/23/2024
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) $0.62 10/23/2024 A(1) 208,265 (2) 12/12/2027 Common stock 208,265 (3) 208,265 D
Stock Option (right to buy) $2.44 10/23/2024 A(1) 208,264 (2) 01/02/2029 Common stock 208,264 (4) 208,264 D
Stock Option (right to buy) $0.62 10/23/2024 A(1) 41,653 (2) 03/15/2027 Common stock 41,653 (5) 41,653 D
Stock Option (right to buy) $0.98 10/23/2024 A(1) 202,934 (2) 12/14/2026 Common stock 202,934 (6) 202,934 D
Stock Option (right to buy) $0.78 10/23/2024 A(1) 1,171,476 (2) 09/26/2034 Common stock 1,171,476 (7) 1,171,476 D
Stock Option (right to buy) $3.68 10/23/2024 A(1) 1,974,502 (2) 12/15/2031 Common stock 1,974,502 (8) 1,974,502 D
Stock Option (right to buy) $2.5 10/23/2024 A(1) 967,539 (2) 09/17/2030 Common stock 967,539 (9) 967,539 D
Explanation of Responses:
1. On October 23, 2024, Amprius, Inc. ("Amprius Holdings") voluntarily liquidated and dissolved and distributed to its stockholders on a pro rata basis an aggregate of 57,195,926 shares of the Issuer's common stock (the "Liquidating Distribution"). In connection with the Liquidating Distribution, the Issuer assumed Amprius Holdings' outstanding options to purchase shares of Amprius Holdings' Class A common stock (the "Holdings Options") granted under the Amprius, Inc. 2008 Stock Plan and the Amprius, Inc. Second Equity Incentive Plan (the "Option Assumption"). As a result of the Option Assumption, each Holdings Option held by the Reporting Person became an option to purchase a number of shares of the Issuer's common stock, subject to certain adjustments to the terms of such options to comply with the requirements of U.S. Internal Revenue Code treasury regulation relating to equity grant assumptions.
2. The options are fully vested.
3. Received in connection with the Option Assumption in exchange for stock options to acquire 300,000 shares of Amprius Holdings' Class A common stock at an exercise price of $0.43 per share.
4. Received in connection with the Option Assumption in exchange for stock options to acquire 300,000 shares of Amprius Holdings' Class A common stock at an exercise price of $1.69 per share.
5. Received in connection with the Option Assumption in exchange for stock options to acquire 60,000 shares of Amprius Holdings' Class A common stock at an exercise price of $0.43 per share.
6. Received in connection with the Option Assumption in exchange for stock options to acquire 292,321 shares of Amprius Holdings' Class A common stock at an exercise price of $0.68 per share.
7. Received in connection with the Option Assumption in exchange for stock options to acquire 1,687,476 shares of Amprius Holdings' Class A common stock at an exercise price of $0.54 per share.
8. Received in connection with the Option Assumption in exchange for stock options to acquire 2,844,212 shares of Amprius Holdings' Class A common stock at an exercise price of $2.55 per share.
9. Received in connection with the Option Assumption in exchange for stock options to acquire 1,393,713 shares of Amprius Holdings' Class A common stock at an exercise price of $1.73 per share.
Remarks:
/s/ Sandra Wallach, attorney-in-fact on behalf of Kang Sun 10/25/2024
** 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 4 (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.

Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.