0001213900-21-065901.txt : 20211217
0001213900-21-065901.hdr.sgml : 20211217
20211217121833
ACCESSION NUMBER: 0001213900-21-065901
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210929
FILED AS OF DATE: 20211217
DATE AS OF CHANGE: 20211217
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kovalik Edward
CENTRAL INDEX KEY: 0001606277
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39924
FILM NUMBER: 211500437
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: 1231
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/A
1
ownership.xml
OWNERSHIP DOCUMENT
X0306
4/A
2021-09-29
2021-02-20
0
0001761696
Crown Electrokinetics Corp.
CRKN
0001606277
Kovalik Edward
C/O CROWN ELECTROKINETICS CORP.
11601 WILSHIRE BLVD., SUITE 2240
LOS ANGELES
CA
90025
1
1
0
0
President and COO
Restricted Stock Unit
2021-09-29
4
A
0
400000
A
Common Stock
400000
400000
D
Granted pursuant to the Issuer's 2020 Employee Incentive Plan. Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock.
In connection with the Reporting Person's Form 4 filing on February 20, 2021, a grant of 400,000 shares of restricted stock pursuant to the Reporting Person's employment agreement with the Issuer was prematurely disclosed; this disclosed grant was never formalized. This grant of 400,000 restricted stock units was made by the Issuer in satisfaction of the Reporting Person's entitlement to an equity award grant pursuant to his employment agreement with the Issuer.
77,778 of the restricted stock unit vested on September 29, 2021. Subject to the Reporting Person remaining in continuous service with the Issuer through each applicable vesting date, 11,111 of the restricted stock units will vest monthly for a period of 28 months beginning October 20, 2021, with the remaining 11,114 restricted stock units vesting on February 20, 2024. In the event of a change in control of the Issuer, all then-unvested restricted stock units will vest as of the date of such change in control; if the Reporting Person terminates service with the Issuer as a result of his death, disability or a termination by the Issuer without cause, 100% of the unvested restricted stock units will vest as of the date of such termination. Share of unrestricted Common Stock of the Issuer will be issued with respect to vested restricted stock units on the earliest to occur of (1) February 20, 2026; (2) the Reporting Person's separation from service; (3) a change in control; or (4) the Reporting Person's death.
Not applicable.
/s/ Edward Kovalik
2021-12-17