0001716583-23-000253.txt : 20231114 0001716583-23-000253.hdr.sgml : 20231114 20231114194639 ACCESSION NUMBER: 0001716583-23-000253 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231111 FILED AS OF DATE: 20231114 DATE AS OF CHANGE: 20231114 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: 231408687 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: 475 QUAKER MEETING HOUSE RD CITY: HONEOYE FALLS STATE: NY ZIP: 14472 BUSINESS PHONE: 585-484-9337 MAIL ADDRESS: STREET 1: 475 QUAKER MEETING HOUSE RD CITY: HONEOYE FALLS STATE: NY ZIP: 14472 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 wk-form4_1700009184.xml FORM 4 X0508 4 2023-11-11 0 0001716583 Hyzon Motors Inc. HYZN 0001174968 ANDERSON ERIK J C/O HYZON MOTORS INC. 475 QUAKER MEETING HOUSE ROAD HONEOYE FALLS NY 14472 1 0 0 0 0 Class A Common Stock, par value $0.0001 per share 2023-11-11 4 M 0 5962 0 A 33864 D Class A Common Stock, par value $0.0001 per share 630947 I See footnote Restricted Stock Units 0 2023-11-11 4 M 0 5962 0 D Class A Common Stock, par value $0.0001 per share 5962 5962 D 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. Each Restricted Stock Unit (RSU) represents a contingent right to receive one share of Hyzon Motors, Inc. Class A Common Stock. The RSUs were granted on February 4, 2022 and will vest in equal installments on each of November 11, 2022, 2023 and 2024, subject to the Reporting Person's continued service with the Issuer. /s/ John Zavoli, Attorney-in-fact 2023-11-14