0000899243-21-016583.txt : 20210421
0000899243-21-016583.hdr.sgml : 20210421
20210421160549
ACCESSION NUMBER: 0000899243-21-016583
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210419
FILED AS OF DATE: 20210421
DATE AS OF CHANGE: 20210421
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Francis Karen C
CENTRAL INDEX KEY: 0001607429
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40326
FILM NUMBER: 21841487
MAIL ADDRESS:
STREET 1: 200 SW 1ST AVE
STREET 2: SUITE 1600
CITY: FORT LAUDERDALE
STATE: FL
ZIP: 33301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TuSimple Holdings Inc.
CENTRAL INDEX KEY: 0001823593
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
IRS NUMBER: 862341575
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 9191 TOWNE CENTRE DRIVE, SUITE 600
CITY: SAN DIEGO
STATE: CA
ZIP: 92122
BUSINESS PHONE: (619) 916-3144
MAIL ADDRESS:
STREET 1: 9191 TOWNE CENTRE DRIVE, SUITE 600
CITY: SAN DIEGO
STATE: CA
ZIP: 92122
FORMER COMPANY:
FORMER CONFORMED NAME: Tusimple (Cayman) Ltd
DATE OF NAME CHANGE: 20200903
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-04-19
0
0001823593
TuSimple Holdings Inc.
TSP
0001607429
Francis Karen C
9191 TOWNE CENTRE DRIVE, STE 600
SAN DIEGO
CA
92122
1
0
0
0
Common Stock
2021-04-19
4
C
0
20000
A
20000
I
By trust
Common Stock
2021-04-19
4
C
0
20000
A
20000
I
By trust
Common Stock
2021-04-19
4
J
0
20000
D
0
I
By trust
Common Stock
2021-04-19
4
J
0
20000
D
0
I
By trust
Common Stock
2021-04-19
4
J
0
60000
D
0
D
Class A Common Stock
2021-04-19
4
J
0
20000
A
20000
I
By trust
Class A Common Stock
2021-04-19
4
J
0
20000
A
20000
I
By trust
Class A Common Stock
2021-04-19
4
J
0
60000
A
60000
D
Class A Common Stock
2021-04-19
4
P
0
7142
40.00
A
67142
D
Series E Convertible Preferred Stock
2021-04-19
4
C
0
20000
D
Class A Common Stock
20000
0
I
By trust
Series E Convertible Preferred Stock
2021-04-19
4
C
0
20000
D
Class A Common Stock
20000
0
I
By trust
The total represents shares received upon conversion of shares of Series E Convertible Preferred Stock.
The reported security converted into the Issuer's Common Stock on a one-for-one basis automatically immediately prior to the closing of the issuer's initial public offering without payment of further consideration. The shares have no expiration date.
The shares are held by the Karen C. Francis Second Restated Revocable Trust dated 1.30.2012, of which the Reporting Person is trustee.
The shares are held by the Richard C. DeGolia Trust dated 8.27.2004, of which the Reporting Person's spouse is trustee.
Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was automatically reclassified into one share of Class A Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock.
The shares are subject to the issuer's right of repurchase, which shall lapse over a three-year period in equal quarterly installments after December 15, 2020, subject to the Reporting Person's continuous service with the issuer.
Represents shares purchased in the Issuer's initial public offering.
/s/ James Mullen - Attorney-in-Fact
2021-04-21