0001213900-21-004738.txt : 20210127 0001213900-21-004738.hdr.sgml : 20210127 20210127212136 ACCESSION NUMBER: 0001213900-21-004738 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210127 FILED AS OF DATE: 20210127 DATE AS OF CHANGE: 20210127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hua Guichao CENTRAL INDEX KEY: 0001833474 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39946 FILM NUMBER: 21561803 MAIL ADDRESS: STREET 1: C/O AGRIFY CORPORATION STREET 2: 101 MIDDLESEX TURNPIKE, SUITE 6, PMB 326 CITY: BURLINGTON STATE: MA ZIP: 01803 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Agrify Corp CENTRAL INDEX KEY: 0001800637 STANDARD INDUSTRIAL CLASSIFICATION: AGRICULTURE SERVICES [0700] IRS NUMBER: 300943453 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1600 DISTRICT AVENUE STREET 2: UNIT 106 CITY: BURLINGTON STATE: MA ZIP: 01803 BUSINESS PHONE: 617-896-5243 MAIL ADDRESS: STREET 1: 1600 DISTRICT AVENUE STREET 2: UNIT 106 CITY: BURLINGTON STATE: MA ZIP: 01803 3 1 ownership.xml X0206 3 2021-01-27 0 0001800637 Agrify Corp AGFY 0001833474 Hua Guichao 101 MIDDLESEX TURNPIKE, SUITE 6, PMB 326 BURLINGTON MA 01803 1 0 0 0 Common Stock 116913 D Common Stock 542636 I By Inventronics Inc. Options 4.86 2030-10-19 Common Stock 41120 D Represents shares of common stock issuable upon the automatic conversion of the Issuer's Series A Preferred Stock immediately prior to the consummation of an initial public offering held by Inventronics Inc., of which Mr. Hua shares voting and dispositive control, and may be deemed to be indirectly beneficially owned by Mr. Hua. Mr. Hua disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that such person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose. 25% of the options will vest on 10/19/21 and the balance vests in 36 equal monthly installments thereafter. This stock option grant provides for accelerated vesting in the event of a change of control transaction or an initial public offering under which 50% of such options (assuming none have previously vested) will vest immediately prior to such event. /s/ Guichao Hua 2021-01-27