0001104659-12-039063.txt : 20120522 0001104659-12-039063.hdr.sgml : 20120522 20120522160847 ACCESSION NUMBER: 0001104659-12-039063 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120521 FILED AS OF DATE: 20120522 DATE AS OF CHANGE: 20120522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Forcier Jason CENTRAL INDEX KEY: 0001472300 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34463 FILM NUMBER: 12861741 MAIL ADDRESS: STREET 1: A123 SYSTEMS INC ARSENAL ON THE CHARLE STREET 2: 321 ARSENAL STREET CITY: WATERTOWN STATE: MA ZIP: 02472 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: A123 SYSTEMS, INC. CENTRAL INDEX KEY: 0001167178 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690] IRS NUMBER: 043583876 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 WEST STREET CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 6177785700 MAIL ADDRESS: STREET 1: 200 WEST STREET CITY: WALTHAM STATE: MA ZIP: 02451 FORMER COMPANY: FORMER CONFORMED NAME: A123 SYSTEMS INC DATE OF NAME CHANGE: 20020212 4 1 a4.xml 4 X0305 4 2012-05-21 0 0001167178 A123 SYSTEMS, INC. AONE 0001472300 Forcier Jason C/O A123 SYSTEMS, INC. 200 WEST STREET WALTHAM MA 02451 0 1 0 0 VP, Auto Solutions Common Stock 2012-05-21 4 S 0 416 0.87 D 273675 D Common Stock 2012-05-21 4 S 0 3115 0.8437 D 270560 D The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan. These transactions were executed in multiple trades in prices ranging from $0.833 to $0.87. The price reported in Column 4 above reflects the weighted average sale price. The Reporting Person hereby undertakes to provide to the SEC staff, the Issuer, or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote. Includes 262,855 restricted stock units ("RSUs"). Upon vesting thereof, the Reporting Person is entitled to receive one (1) share of common stock for each one (1) RSU. /s/ Eric J. Pyenson, Attorney-in-Fact for Jason Forcier 2012-05-22