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