0001213900-24-002740.txt : 20240110 0001213900-24-002740.hdr.sgml : 20240110 20240110170106 ACCESSION NUMBER: 0001213900-24-002740 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240108 FILED AS OF DATE: 20240110 DATE AS OF CHANGE: 20240110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SPLINTER MICHAEL R CENTRAL INDEX KEY: 0001188935 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40710 FILM NUMBER: 24527180 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TIGO ENERGY, INC. CENTRAL INDEX KEY: 0001855447 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] ORGANIZATION NAME: 04 Manufacturing IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 655 CAMPBELL TECHNOLOGY PARKWAY STREET 2: SUITE 150 CITY: CAMPBELL STATE: CA ZIP: 95008 BUSINESS PHONE: (408) 402-0802 MAIL ADDRESS: STREET 1: 655 CAMPBELL TECHNOLOGY PARKWAY STREET 2: SUITE 150 CITY: CAMPBELL STATE: CA ZIP: 95008 FORMER COMPANY: FORMER CONFORMED NAME: Roth CH Acquisition IV Co. DATE OF NAME CHANGE: 20210406 4 1 ownership.xml X0508 4 2024-01-08 0 0001855447 TIGO ENERGY, INC. TYGO 0001188935 SPLINTER MICHAEL R 655 CAMPBELL TECHNOLOGY PKWY, STE 150 CAMPBELL CA 95008 1 0 0 0 0 Common Stock 2024-01-08 4 M 0 46670 0.26 A 62974 D Common Stock 1123656 I See footnote Common Stock 35000 I See footnote Common Stock 35000 I See footnote Common Stock 35000 I See footnote Common Stock 35000 I See footnote Stock Option (Right to Buy) 0.26 2024-01-08 4 M 0 46670 0 D 2024-02-03 Common Stock 46670 0 D Includes 16,304 shares of common stock, par value $0.0001 per share ("Common Stock"), underlying restricted stock units ("RSUs") granted to the reporting person on August 11, 2023 (the "Grant Date") pursuant to the Issuer's 2023 Incentive Plan. The RSUs will vest in full, and an equal number of shares of Common Stock will be deliverable to the reporting person, on the first anniversary of the Grant Date, subject to continued service through such vesting date. (2) The shares reported are owned by the SPLINTER ROBOOSTOFF REV TRUST UAD 1/23/97, for which the reporting person serves as Trustee and exercises investing authority over such shares. (3) The shares reported are owned by the AMANDA CHRISTINE SPLINTER 2012 IRREVOCABLE TRUST DTD 08/10/2012, for which the reporting person serves as Trustee and exercises investing authority over such shares. (4) The shares reported are owned by the ARCHIE DAVID ROBOOSTOFF 2012 IRREVOCABLE TRUST DTD 08/10/2012, for which the reporting person serves as Trustee and exercises investing authority over such shares. (5) The shares reported are owned by the JOSHUA MICHAEL SPLINTER 2012 IRREVOCABLE TRUST DTD 08/10/2012, for which the reporting person serves as Trustee and exercises investing authority over such shares. The shares reported are owned by the KRISTA DIANE FENSKE 2012 IRREVOCABLE TRUST DTD 08/10/2012, for which the reporting person serves as Trustee and exercises investing authority over such shares. Reflects the number of stock options granted to the reporting person on February 4, 2014, which was reported as 46,667 stock options on the reporting person's Form 4 filed on May 25, 2023. The difference is due to the finalization of the exchange ratio after the Issuer's previously announced business combination. The stock option was immediately exercisable on February 4, 2014, which was the date of grant. /s/ Bill Roeschlein, as attorney-in-fact 2024-01-10