0001045810-21-000151.txt : 20210917 0001045810-21-000151.hdr.sgml : 20210917 20210917160045 ACCESSION NUMBER: 0001045810-21-000151 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210915 FILED AS OF DATE: 20210917 DATE AS OF CHANGE: 20210917 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HUANG JEN HSUN CENTRAL INDEX KEY: 0001197649 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23985 FILM NUMBER: 211260342 MAIL ADDRESS: STREET 1: 2788 SAN TOMAS EXPRESSWAY CITY: SANTA CLARA STATE: CA ZIP: 95051 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NVIDIA CORP CENTRAL INDEX KEY: 0001045810 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 943177549 STATE OF INCORPORATION: DE FISCAL YEAR END: 0130 BUSINESS ADDRESS: STREET 1: 2788 SAN TOMAS EXPRESSWAY CITY: SANTA CLARA STATE: CA ZIP: 95051 BUSINESS PHONE: 408-486-2000 MAIL ADDRESS: STREET 1: 2788 SAN TOMAS EXPRESSWAY CITY: SANTA CLARA STATE: CA ZIP: 95051 FORMER COMPANY: FORMER CONFORMED NAME: NVIDIA CORP/DE DATE OF NAME CHANGE: 20020612 FORMER COMPANY: FORMER CONFORMED NAME: NVIDIA CORP/CA DATE OF NAME CHANGE: 19980303 4 1 wf-form4_163190882063899.xml FORM 4 X0306 4 2021-09-15 0 0001045810 NVIDIA CORP NVDA 0001197649 HUANG JEN HSUN C/O NVIDIA CORPORATION 2788 SAN TOMAS EXPRESSWAY SANTA CLARA CA 95051 1 1 0 0 President and CEO Common Stock 2021-09-15 4 F 0 16033 223.41 D 5194956 D Common Stock 62565496 I By Trust Common Stock 4948956 I By Partnership Common Stock 2986630 I The Lori Lynn Huang 2016 Annuity Trust II Agreement Common Stock 2986630 I The Jen-Hsun Huang 2016 Annuity Trust II Agreement Common Stock 2228000 I By Irrevocable Trust Common Stock 5007800 I By Irrevocable Remainder Trust Represents shares of the Issuer's common stock withheld by the Issuer to satisfy taxes due by the Reporting Person in connection with the vesting of restricted stock units previously reported on a Form 4, as adjusted to give effect to a four-for-one forward split of the Issuer's common stock in the form of a stock dividend distributed on July 19, 2021 (the "stock split"). Includes 32,336 shares issued upon the vesting of restricted stock units previously reported on a Form 4, as adjusted to give effect to the stock split. The shares are held by Jen-Hsun Huang and Lori Huang, as co-trustees of the Jen-Hsun & Lori Huang Living Trust, u/a/d May 1, 1995 (the "Trust"), of which the Reporting Person is a trustee. The shares are held by J. and L. Huang Investments, L.P., of which the Trust is the general partner. The shares are held by The Huang 2012 Irrevocable Trust, of which the Reporting Person is a trustee. The shares are held by The Huang Irrevocable Remainder Trust u/a/d February 19, 2016, of which the Reporting Person is a trustee. /s/ Rebecca Peters, Attorney-in-Fact for Jen-Hsun Huang 2021-09-17