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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 03/15/2021 |
3. Issuer Name and Ticker or Trading Symbol
Berkeley Lights, Inc. [ BLI ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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 Stock | 10,000(1) | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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 | ||||
Stock Options (Right to Buy) | (2) | 11/10/2030 | Common Stock | 4,844 | $82.57 | D | |
Stock Options (Right to Buy) | (3) | 11/10/2030 | Common Stock | 25,156 | $82.57 | D |
Explanation of Responses: |
1. Represents an award of restricted stock units subject to time-based vesting conditions in accordance with the underlying award. Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock and has no expiration date. |
2. The stock option will vest with respect to 1,211 shares on October 19, 2021, and will vest with respect to the remainder of the shares in monthly installments of 625 shares each January and 586 shares each February until fully vested on February 19, 2024. |
3. The stock option will vest with respect to 6,289 shares on October 19, 2021, will vest with respect to the remainder of the shares in monthly installments of 39 shares each February, and equal monthly installments of 625 shares from March through December until fully vested on October 19, 2024. |
/s/ Stuart L. Merkadeau, Attorney-in-fact for Kurt Wood | 03/17/2021 | |
** 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. | ||
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. |