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*
Fittipaldi Jesse

(Last) (First) (Middle)
C/O ARCIMOTO, INC.
2034 WEST 2ND AVENUE

(Street)
EUGENE OR 97402

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/22/2020
3. Issuer Name and Ticker or Trading Symbol
Arcimoto Inc [ FUV ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive Vice President
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 1,990 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
Stock Option (Right to Buy Common Stock) 01/01/2021 10/02/2025 Common Stock 19,000 2.06 D
Stock Option (Right to Buy Common Stock) 01/01/2021 03/01/2027 Common Stock 46,000 2.5 D
Stock Option (Right to Buy Common Stock) 01/01/2021 12/01/2027 Common Stock 35,000 3.1 D
Stock Option (Right to Buy Common Stock) 09/01/2021 09/01/2028 Common Stock 13,200 4.33 D
Stock Option (Right to Buy Common Stock) 05/01/2022 04/05/2029 Common Stock 20,000 4.52 D
Stock Option (Right to Buy Common Stock) 01/01/2023 12/23/2029 Common Stock 20,000 1.71 D
Stock Option (Right to Buy Common Stock) 10/01/2023 09/11/2030 Common Stock 20,000 5.41 D
Stock Option (Right to Buy Common Stock) 01/01/2024 12/14/2030 Common Stock 1,000 12.06 D
Explanation of Responses:
Remarks:
Exhibit List: Exhibit 24 - Power of Attorney
/s/ Jesse Fittipaldi 12/23/2020
** 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.