0000899243-21-016588.txt : 20210421
0000899243-21-016588.hdr.sgml : 20210421
20210421160537
ACCESSION NUMBER: 0000899243-21-016588
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210419
FILED AS OF DATE: 20210421
DATE AS OF CHANGE: 20210421
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Buss Brad W
CENTRAL INDEX KEY: 0001336664
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40326
FILM NUMBER: 21841479
MAIL ADDRESS:
STREET 1: 198 CHAMPION COURT
CITY: SAN JOSE
STATE: CA
ZIP: 95134
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TuSimple Holdings Inc.
CENTRAL INDEX KEY: 0001823593
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
IRS NUMBER: 862341575
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 9191 TOWNE CENTRE DRIVE, SUITE 600
CITY: SAN DIEGO
STATE: CA
ZIP: 92122
BUSINESS PHONE: (619) 916-3144
MAIL ADDRESS:
STREET 1: 9191 TOWNE CENTRE DRIVE, SUITE 600
CITY: SAN DIEGO
STATE: CA
ZIP: 92122
FORMER COMPANY:
FORMER CONFORMED NAME: Tusimple (Cayman) Ltd
DATE OF NAME CHANGE: 20200903
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-04-19
0
0001823593
TuSimple Holdings Inc.
TSP
0001336664
Buss Brad W
9191 TOWNE CENTRE DRIVE, STE 600
SAN DIEGO
CA
92122
1
0
0
0
Common Stock
2021-04-19
4
C
0
141441
A
141441
I
By trust
Common Stock
2021-04-19
4
C
0
141442
A
141442
I
By trust
Common Stock
2021-04-19
4
J
0
141441
D
0
I
By trust
Common Stock
2021-04-19
4
J
0
141442
D
0
I
By trust
Class A Common Stock
2021-04-19
4
J
0
141441
A
141441
I
By trust
Class A Common Stock
2021-04-19
4
J
0
141442
A
141442
I
By trust
Series E Convertible Preferred Stock
2021-04-19
4
C
0
141441
D
Common Stock
141441
0
I
By trust
Series E Convertible Preferred Stock
2021-04-19
4
C
0
141442
D
Common Stock
141442
0
I
By trust
The total represents shares received upon conversion of shares of Series E Convertible Preferred Stock.
The reported security converted into the Issuer's Common Stock on a one-for-one basis automatically immediately prior to the closing of the issuer's initial public offering without payment of further consideration. The shares have no expiration date.
The shares are held by the 2011 Buss Family Trust, of which the Reporting Person is trustee.
The shares are held by the Buss Family Heritage Trust, of which the Reporting Person is trustee.
Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was automatically reclassified into one share of Class A Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock.
/s/ James Mullen - Attorney-in-Fact
2021-04-21