0001628280-24-011982.txt : 20240319 0001628280-24-011982.hdr.sgml : 20240319 20240319193023 ACCESSION NUMBER: 0001628280-24-011982 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240319 FILED AS OF DATE: 20240319 DATE AS OF CHANGE: 20240319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wallach Sandra CENTRAL INDEX KEY: 0001698362 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41314 FILM NUMBER: 24765753 MAIL ADDRESS: STREET 1: C/O IDENTIV,INC.,2201 WALNUT AVENUE, STREET 2: SUITE 310 CITY: FREMONT STATE: CA ZIP: 94538 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Amprius Technologies, Inc. CENTRAL INDEX KEY: 0001899287 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690] ORGANIZATION NAME: 04 Manufacturing IRS NUMBER: 981591811 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1180 PAGE AVENUE CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: (800) 425-8803 MAIL ADDRESS: STREET 1: 1180 PAGE AVENUE CITY: FREMONT STATE: CA ZIP: 94538 FORMER COMPANY: FORMER CONFORMED NAME: Kensington Capital Acquisition Corp. IV DATE OF NAME CHANGE: 20211214 4 1 wk-form4_1710891006.xml FORM 4 X0508 4 2024-03-19 0 0001899287 Amprius Technologies, Inc. AMPX 0001698362 Wallach Sandra C/O AMPRIUS TECHNOLOGIES, INC., 1180 PAGE AVENUE FREMONT CA 94538 0 1 0 0 Chief Financial Officer 0 Common stock 2024-03-19 4 A 0 749700 0 A 749700 D The securities are represented by restricted stock units. Each restricted stock unit represents the reporting person's right to receive one share of the issuer's common stock. 1/16th of shares subject to award will vest on May 20, 2024 and quarterly thereafter on each August 20, November 20, February 20 and May 20, subject to the reporting person's continued service on each such date, until the award is fully vested on February 20, 2028. Includes 749,700 restricted stock units, each of which represents a contingent right to receive one share of the issuer's common stock, subject to the applicable vesting schedule and conditions of each restricted stock unit. /s/ Sandra Wallach 2024-03-19