SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Frohnmayer Mark

(Last) (First) (Middle)
C/O ARCIMOTO, INC.,
544 BLAIR BOULEVARD

(Street)
EUGENE OR 97402

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/21/2017
3. Issuer Name and Ticker or Trading Symbol
Arcimoto Inc [ FUV ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
President & CEO
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 6,993,758 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant (Right to Purchase Common Stock) 03/09/2012 03/09/2027 Common Stock 300,000 0.5 D
Stock Option (Right to Buy Common Stock) (1) 10/02/2025 Common Stock 20,000 2.0605 D
Stock Option (Right to Buy Common Stock) (2) 03/01/2027 Common Stock 20,000 2.75 D
Explanation of Responses:
1. The option vests 1/3 on the first anniversary of the date of grant, October 2, 2016. The remaining options vest in equal monthly installments for 24 months on the 2nd day of each month, commencing on November 2, 2016.
2. The option vests 1/3 on the first anniversary of the date of grant, March 1, 2018. The remaining options vest in equal monthly installments for 24 months on the 1st day of each month, commencing on April 1, 2018.
/s/ S. Halle Vakani, by Power of Attorney 02/02/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.