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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Donaghey Christopher Wayne

(Last) (First) (Middle)
C/O APPLIED ENERGETICS, INC
9070 S RITA ROAD, SUITE 1500

(Street)
TUCSON AZ 85747

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/01/2022
3. Issuer Name and Ticker or Trading Symbol
APPLIED ENERGETICS, INC. [ AERG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CFO/COO
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 Stock, par value $0.001 per share 174,554 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
Options (1) 04/29/2029 Common Stock, par value $0.001 150,000 $0.35 D
Options (2) 05/12/2031 Common Stock, par value $0.001 200,000 $0.61 D
Options (3) 07/13/2032 Common Stock, par value $0.001 1,000,000 $2.36 D
Restricted Stock Units (4) (4) Common Stock, par value $0.001 400,000 (4) D
Explanation of Responses:
1. These options vested in installments of 37,500 shares on each of 9/29/2019, 4/29/2020, 9/29/2020 and 4/29/2021.
2. These options vested on May 12, 2022.
3. These options vest over four years, in equal annual installments of 250,000 shares, commencing on July 12, 2023.
4. These RSUs vest in equal annual installments of 100,000 shares, commencing on July 12, 2023 and have no expiration date or exercise price .
/s/ Christopher Wayne Donaghey 11/04/2022
** 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.