0001209191-22-002688.txt : 20220110 0001209191-22-002688.hdr.sgml : 20220110 20220110161813 ACCESSION NUMBER: 0001209191-22-002688 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211230 FILED AS OF DATE: 20220110 DATE AS OF CHANGE: 20220110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Doyle Thomas P. CENTRAL INDEX KEY: 0001903755 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40209 FILM NUMBER: 22521459 MAIL ADDRESS: STREET 1: 130 W UNION STREET CITY: PASADENA STATE: CA ZIP: 91103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Heliogen, Inc. CENTRAL INDEX KEY: 0001840292 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC SERVICES [4911] IRS NUMBER: 854204953 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 123 TOWNPARK DRIVE, SUITE 300 CITY: KENNESAW STATE: GA ZIP: 30144 BUSINESS PHONE: 9709240446 MAIL ADDRESS: STREET 1: 123 TOWNPARK DRIVE, SUITE 300 CITY: KENNESAW STATE: GA ZIP: 30144 FORMER COMPANY: FORMER CONFORMED NAME: Athena Technology Acquisition Corp. DATE OF NAME CHANGE: 20210112 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-30 0 0001840292 Heliogen, Inc. HLGN 0001903755 Doyle Thomas P. C/O HELIOGEN, INC. 130 W UNION STREET PASADENA CA 91103 0 1 0 0 Chief Commercial Officer Common Stock 2021-12-30 4 A 0 503321 0.00 A 503321 D Employee Stock Option (right to buy) 0.18 2021-12-30 4 A 0 1006642 0.00 A 2031-01-22 Common Stock 1006642 1006642 D These shares are represented by restricted stock units ("RSUs") issued by Heliogen, Inc., a Delaware corporation ("Legacy Heliogen") and assumed by the Issuer on December 30, 2021 pursuant to that certain Business Combination Agreement ("Merger Agreement"), dated as of July 6, 2021, by and among Athena Technology Acquisition Corp., a Delaware corporation ("Athena"), HelioMax Merger Sub, Inc., a Delaware corporation and a wholly-owned subsidiary of Athena, and Legacy Heliogen. Each RSU represents a contingent right to receive one share of the Common Stock of the Issuer. Six and one-quarter percent (6.25%) of the shares underlying the RSUs vest in quarterly installments with the first installment vesting on March 15, 2022, subject to the Reporting Person's continuous service. One quarter (25%) of the shares shall vest on January 23, 2022, and the remainder shall vest in 36 equal monthly installments, subject to the Reporting Person's continuous service. Represents options issued by Legacy Heliogen and assumed by the Issuer on December 30, 2021 pursuant to the Merger Agreement. /s/ Dorothy Vinsky, Attorney-in-Fact 2022-01-10