0001683168-23-000031.txt : 20230104 0001683168-23-000031.hdr.sgml : 20230104 20230104200900 ACCESSION NUMBER: 0001683168-23-000031 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230101 FILED AS OF DATE: 20230104 DATE AS OF CHANGE: 20230104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Willson Brent CENTRAL INDEX KEY: 0001731873 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41447 FILM NUMBER: 23509322 MAIL ADDRESS: STREET 1: 5271 CAMINITO EXQUISITO CITY: SAN DIEGO STATE: CA ZIP: 92130 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NeoVolta Inc. CENTRAL INDEX KEY: 0001748137 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690] IRS NUMBER: 825299263 STATE OF INCORPORATION: NV FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 13651 DANIELSON STREET STREET 2: SUITE A CITY: POWAY STATE: CA ZIP: 92064 BUSINESS PHONE: 800-364-5464 MAIL ADDRESS: STREET 1: 13651 DANIELSON STREET STREET 2: SUITE A CITY: POWAY STATE: CA ZIP: 92064 FORMER COMPANY: FORMER CONFORMED NAME: NeoVolta, Inc. DATE OF NAME CHANGE: 20220613 FORMER COMPANY: FORMER CONFORMED NAME: NeoVolta Inc. DATE OF NAME CHANGE: 20180725 4 1 ownership.xml X0306 4 2023-01-01 0 0001748137 NeoVolta Inc. NEOV 0001731873 Willson Brent C/O NEOVOLTA, INC. 13651 DANIELSON STREET, SUITE A POWAY CA 92064 1 1 0 0 Chief Executive Officer Common Stock 2023-01-01 4 M 0 50000 A 50000 D Restricted Stock Units 2023-01-01 4 M 0 50000 D Common Stock 50000 100000 D Issued upon conversion of restricted stock units that convert into common stock on a one-for-one basis. The reporting person was granted 300,000 restricted stock units (RSUs), vesting as follows: (i) 50,000 of the RSUs vested on January 1, 2023; and (ii) 100,000 RSUs shall vest shall vest on the occurrence of both of the following events: (A) the Company producing at least 2,000 energy storage systems during 2022; and (B) the earliest of (1) a change in control or (2) the termination of the reporting person's employment by the Company without cause (as defined in the employment agreement between the Company and reporting person dated on or about the date hereof) or (3) the death of reporting person, or (4) January 1, 2023, provided the reporting person is serving as an employee of the Company on such date. Does not include 4,000,000 shares held by Canmore International, Inc., an entity affiliated with the reporting person. /s/ Brent Willson 2023-01-04