0001213900-21-011733.txt : 20210225 0001213900-21-011733.hdr.sgml : 20210225 20210225173934 ACCESSION NUMBER: 0001213900-21-011733 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210220 FILED AS OF DATE: 20210225 DATE AS OF CHANGE: 20210225 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kovalik Edward CENTRAL INDEX KEY: 0001606277 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39924 FILM NUMBER: 21682087 MAIL ADDRESS: STREET 1: 1 GRAND ARMY PLAZA, 11 GG CITY: BROOKLYN STATE: NY ZIP: 11238 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Crown Electrokinetics Corp. CENTRAL INDEX KEY: 0001761696 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679] IRS NUMBER: 475423944 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 1110 NE CIRCLE BLVD CITY: CORVALLIS STATE: OR ZIP: 97330 BUSINESS PHONE: 800-674-3612 MAIL ADDRESS: STREET 1: 1110 NE CIRCLE BLVD CITY: CORVALLIS STATE: OR ZIP: 97330 4 1 ownership.xml DOCUMENT OWNERSHIP X0306 4 2021-02-20 0 0001761696 Crown Electrokinetics Corp. CRKN 0001606277 Kovalik Edward C/O CROWN ELECTROKINETICS CORP. 1110 NE CIRCLE BLVD. CORVALLIS OR 97330 1 1 0 0 President and COO Common Stock 2021-02-20 4 A 0 400000 A 400000 D Granted pursuant to the Issuer's 2020 Employee Incentive Plan. Consists of 400,000 shares of restricted stock, vesting in equal monthly installments over a period of 36 months. The Issuer and the Reporting Person have agreed to defer delivery of all vested shares until the 60th month following February 20, 2021, subject to the Reporting Person's continued employment with the Issuer. /s/ Edward Kovalik 2021-02-25