0000899243-21-016585.txt : 20210421
0000899243-21-016585.hdr.sgml : 20210421
20210421160550
ACCESSION NUMBER: 0000899243-21-016585
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: Hou Xiaodi
CENTRAL INDEX KEY: 0001851998
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40326
FILM NUMBER: 21841489
MAIL ADDRESS:
STREET 1: 9191 TOWNE CENTRE DRIVE STE 600
CITY: SAN DIEGO
STATE: CA
ZIP: 92122
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: White Marble International Ltd
CENTRAL INDEX KEY: 0001856505
STATE OF INCORPORATION: Y0
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40326
FILM NUMBER: 21841488
BUSINESS ADDRESS:
STREET 1: SERBUS CHAMBERS, P.O. BOX 603
CITY: APIA
STATE: Y0
ZIP: 96799
BUSINESS PHONE: (619) 916-3144
MAIL ADDRESS:
STREET 1: SERBUS CHAMBERS, P.O. BOX 603
CITY: APIA
STATE: Y0
ZIP: 96799
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
0001851998
Hou Xiaodi
9191 TOWNE CENTRE DRIVE, STE 600
SAN DIEGO
CA
92122
1
1
1
0
Chief Technology Officer
0001856505
White Marble International Ltd
9191 TOWNE CENTRE DRIVE, STE 600
SAN DIEGO
CA
92122
0
0
1
0
Common Stock
2021-04-19
4
J
0
25367314
D
0
I
By corporation
Class A Common Stock
2021-04-19
4
J
0
25367314
A
25367314
I
By corporation
Class A Common Stock
2021-04-19
4
J
0
12000000
D
13367314
I
By corporation
Class B Common Stock
2021-04-19
4
J
0
12000000
0.00
A
Class A Common Stock
12000000
12000000
I
By corporation
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 held by White Marble International Limited, a company incorporated in Samoa and beneficially owned by the Reporting Person.
Following the reclassification of Common Stock into Class A Common Stock, certain shares of Class A Common Stock were exchanged at a 1:1 ratio for shares of Class B Common Stock in a transaction previously approved by the Issuer's board of directors.
Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.
Xiaodi Hou: By: /s/ James Mullen, Attorney-in-Fact
2021-04-21
White Marble International Limited, By: /s/ James Mullen, Attorney-in-Fact
2021-04-21