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*
Lonngren Thomas

(Last) (First) (Middle)
COMPASS PATHWAYS PLC
33 BROADWICK STREET

(Street)
LONDON X0 W1F 0DQ

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/01/2022
3. Issuer Name and Ticker or Trading Symbol
COMPASS Pathways plc [ CMPS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
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)
Ordinary Shares(1) 89,049 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
Share Option (Right to Buy) (2) 03/30/2030 Ordinary Shares(1) 14,771 $0.011 D
Share Option (Right to Buy) (3) 06/30/2030 Ordinary Shares(1) 23,740 $0.014 D
Share Option (Right to Buy) (4) 09/18/2030 Ordinary Shares(1) 21,584 $17 D
Share Option (Right to Buy) (5) 10/01/2031 Ordinary Shares(1) 12,000 $29.87 D
Explanation of Responses:
1. The Ordinary Shares may be represented by American Depositary Shares, each of which currently represents one Ordinary Share.
2. The shares underlying this option are fully vested and exercisable as of the date hereof. The exercise price is 0.008 GBP and has been translated to USD in the table above at an exchange rate of 1.00 GBP to$1.3673 USD.
3. 25% of the shares underlying this option vested and became exercisable on June 30, 2021, with the remainder vesting in thirty-six equal monthly installments thereafter. The exercise price is 0.01 GBP and hasbeen translated to USD in the table above at an exchange rate of 1.00 GBP to $1.3673 USD.
4. 25% of the shares underlying this option vested and became exercisable on September 18, 2021, with the remainder vesting in thirty-six equal monthly installments thereafter.
5. 25% of the shares underlying this option shall vest and become exercisable on October 1, 2022, with the remainder vesting in thirty-six equal monthly installments thereafter.
Remarks:
EX-24 Lonngren - POA
/s/ Daniel Maalo by Power of Attorney for Thomas Lonngren 01/03/2022
** 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.