0000905148-23-001522.txt : 20231121 0000905148-23-001522.hdr.sgml : 20231121 20231121204138 ACCESSION NUMBER: 0000905148-23-001522 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20231116 FILED AS OF DATE: 20231121 DATE AS OF CHANGE: 20231121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Khetani Mansi CENTRAL INDEX KEY: 0002001123 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39004 FILM NUMBER: 231429745 MAIL ADDRESS: STREET 1: 240 EAST HACIENDA AVENUE CITY: CAMPBELL STATE: CA ZIP: 95008 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ChargePoint Holdings, Inc. CENTRAL INDEX KEY: 0001777393 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS TRANSPORTATION EQUIPMENT [3790] IRS NUMBER: 841747686 FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 240 EAST HACIENDA AVENUE CITY: CAMPBELL STATE: CA ZIP: 95008 BUSINESS PHONE: (972) 514-9535 MAIL ADDRESS: STREET 1: 240 EAST HACIENDA AVENUE CITY: CAMPBELL STATE: CA ZIP: 95008 FORMER COMPANY: FORMER CONFORMED NAME: Switchback Energy Acquisition Corp DATE OF NAME CHANGE: 20190521 3 1 form3.xml X0206 3 2023-11-16 0 0001777393 ChargePoint Holdings, Inc. CHPT 0002001123 Khetani Mansi 240 EAST HACIENDA AVENUE CAMPBELL CA 95008 true Interim CFO Common Stock 307110 D Stock Option (right to buy) 0.76 2029-04-13 Common Stock 105371 D Stock Option (right to buy) 0.76 2030-05-13 Common Stock 22888 D 179,276 of the reported shares are restricted stock units ("RSUs"), each representing the right to receive one share of the Issuer's common stock. The RSUs are subject to a service-based vesting requirement, which shall be satisfied in equal quarterly installments through March 20, 2027, subject to the Reporting Person's continuous service with the Issuer through each such date. The Stock Option is fully vested. Exhibit List: Exhibit 24 - Power of Attorney /s/ Natella Novruzova, Attorney-in-Fact 2023-11-21 EX-24 2 khetani_poa.htm
The undersigned, as a Section 16 reporting person of ChargePoint Holdings, Inc., a Delaware corporation (the “Company”), hereby constitutes and appoints each of Rebecca Chavez, Natella Novruzova, Eric Batill and Henrik Gerdes as the undersigned’s true and lawful attorney-in-fact to:
(1) complete and execute Form ID, “Update Passphrase Confirmation” form and Forms 3, 4 and 5 and other forms and all amendments thereto as such attorney-in-fact shall in his or her discretion determined to be required or advisable pursuant to Section 16 of the Securities Exchange Act of 1934 (as amended) and the rules and regulations promulgated thereunder, or any successor laws and regulations, as a consequence of the undersigned’s ownership, acquisition or disposition of securities of the Company; and
(2) do all acts necessary in order to file such forms with the Securities and Exchange Commission, any securities exchange or national association, the Company and such other person or agency as the attorney-in-fact shall deem appropriate.
The undersigned hereby ratifies and confirms all that said attorneys-in-fact and agents shall do or cause to be done by virtue hereof.  The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with the Securities Exchange Act of 1934 (as amended).
This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this day November 16, 2023.

  /s/ Mansi Khetani
    Mansi Khetani


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