SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Mouat William

(Last) (First) (Middle)
C/O AURORA INNOVATION, INC.
50 33RD ST

(Street)
PITTSBURGH PA 15201

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/03/2021
3. Issuer Name and Ticker or Trading Symbol
Aurora Innovation, Inc. [ AUR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 3,436,031(1)(2) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (Right to Buy) (3) 02/25/2030 Class A Common Stock 88,190(1) $1.41 D
Explanation of Responses:
1. On November 3, 2021, upon the consummation of the business combination between Reinvent Technology Partners Y (the former name of the Issuer) and Aurora Innovation Holdings, Inc. (formerly Aurora Innovation, Inc.) ("Legacy Aurora"), each outstanding share of Legacy Aurora common stock was cancelled and converted into approximately 2.1708 shares of Class A common stock of the Issuer.
2. Represents (i) 3,354,625 shares of Class A common stock of the Issuer and (ii) 81,406 restricted stock units ("RSUs"), each RSU representing the right to receive one share of Class A common stock of the Issuer, which will time vest quarterly and fully vest on February 20, 2023.
3. 9/13 of the shares subject to the option have vested, and 1/13 of the remaining shares subject to the option vest monthly beginning on December 1, 2021.
Remarks:
General Counsel, Vice President, Secretary and Treasurer Exhibit 24 - Power of Attorney
/s/ William Mouat 11/12/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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