0000899243-21-029094.txt : 20210720 0000899243-21-029094.hdr.sgml : 20210720 20210720212232 ACCESSION NUMBER: 0000899243-21-029094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210716 FILED AS OF DATE: 20210720 DATE AS OF CHANGE: 20210720 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON ERIK J CENTRAL INDEX KEY: 0001174968 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39632 FILM NUMBER: 211102530 MAIL ADDRESS: STREET 1: 1411 E MISSION AVE CITY: SPOKANE STATE: WA ZIP: 99202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Hyzon Motors Inc. CENTRAL INDEX KEY: 0001716583 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRICAL INDUSTRIAL APPARATUS [3620] IRS NUMBER: 822726724 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2744 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 212-993-0076 MAIL ADDRESS: STREET 1: 2744 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER COMPANY: FORMER CONFORMED NAME: Decarbonization Plus Acquisition Corp DATE OF NAME CHANGE: 20200923 FORMER COMPANY: FORMER CONFORMED NAME: Decarbonization Plus Acquistion Corp DATE OF NAME CHANGE: 20200819 FORMER COMPANY: FORMER CONFORMED NAME: Silver Run Acquisition Corp III DATE OF NAME CHANGE: 20170908 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-07-16 0 0001716583 Hyzon Motors Inc. HYZN 0001174968 ANDERSON ERIK J C/O DECARBONIZATION PLUS ACQ CORP. 2744 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025 1 1 0 0 Chief Executive Officer Class A Common Stock 2021-07-16 4 C 0 630947 A 630947 I See footnote Class B Common Stock 2021-07-16 4 C 0 630947 D Class A Common Stock 630947 0 I See footnote In connection with the closing of the business combination between Decarbonization Plus Acquisition Corporation ("DCRB"), DCRB Merger Sub Inc. and Hyzon Motors Inc. on July 16, 2021, the Reporting Person's shares of Class B Common Stock automatically converted into shares of Class A Common Stock on a one-for-one basis. Upon consummation of the business combination, DCRB changed its name to "Hyzon Motors Inc." The shares of Class B Common Stock were automatically convertible into shares of Class A Common Stock at the time of DCRB's initial business combination on a one-for-one basis, subject to adjustment pursuant to certain anti-dilution rights (which rights were waived by the Reporting Person in connection with the business combination), and had no expiration date. WRG DCRB Investors, LLC is the record holder of the shares reported herein. WestRiver Management, LLC is the managing member and majority owner of WRG DCRB Investors, LLC. Mr. Anderson is the sole member of WestRiver Management, LLC and has voting and investment discretion with respect to the shares held of record by WRG DCRB Investors, LLC. As such, Mr. Anderson may be deemed to have or share beneficial ownership of the common stock held directly by WRG DCRB Investors, LLC. /s/ Erik J. Anderson 2021-07-20