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