0001104659-23-129359.txt : 20231226
0001104659-23-129359.hdr.sgml : 20231226
20231226214620
ACCESSION NUMBER: 0001104659-23-129359
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231221
FILED AS OF DATE: 20231226
DATE AS OF CHANGE: 20231226
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SAMINI KEYVAN
CENTRAL INDEX KEY: 0002004846
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40621
FILM NUMBER: 231514478
MAIL ADDRESS:
STREET 1: C/O MOBIX LABS, INC.
STREET 2: 15420 LAGUNA CANYON RD SUITE 100
CITY: IRVINE
STATE: CA
ZIP: 92618
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Chavant Capital Acquisition Corp.
CENTRAL INDEX KEY: 0001855467
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
ORGANIZATION NAME: 04 Manufacturing
IRS NUMBER: 981591717
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 445 PARK AVENUE, 9TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-745-1086
MAIL ADDRESS:
STREET 1: 445 PARK AVENUE, 9TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
4
1
tm2333669-14_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2023-12-21
0
0001855467
Chavant Capital Acquisition Corp.
MOBX
0002004846
SAMINI KEYVAN
C/O MOBIX LABS, INC.
15420 LAGUNA CANYON RD SUITE 100
IRVINE
CA
92618
1
1
0
0
President, CFO and Director
0
Class A Common Stock
2023-12-21
4
A
0
323529
A
323529
D
Class A Common Stock
2023-12-21
4
A
0
73529
A
73529
I
By KSLI Trust
Class A Common Stock
2023-12-21
4
A
0
171146
A
171146
I
By KSSF Trust
Class A Common Stock
2023-12-21
4
A
0
73529
A
73529
I
By SSLI Trust
Class B Common Stock
2023-12-21
4
A
0
125000
A
Class A Common Stock
125000
125000
I
By KSSF Trust
Received in connection with the business combination (the "Business Combination") by and between Chavant Capital Acquisition Corp., CLAY Merger Sub II, Inc. and Mobix Labs, Inc. in accordance with the terms of the Business Combination Agreement dated as of November 15, 2022, which closed on December 21, 2023 ("Closing Date"). At the Closing Date, the Reporting Person acquired these shares in exchange for the same number of certain equity interests of Mobix Labs, Inc. held immediately prior to the Closing, which were automatically converted into a number of shares of Class A Common Stock.
The Reporting Person is a trustee of this trust. The Reporting Person disclaims beneficial ownership of the securities held by this trust except to the extent of his respective pecuniary interest therein
At the Closing Date, the Reporting Person acquired these shares in exchange for the same number of shares of preferred stock, which includes Series A Preferred Stock and Founders Preferred Stock of Mobix Labs, Inc. held immediately prior to the Closing, which were automatically converted into a number of shares of Class B Common Stock. The shares of Class B Common Stock are convertible into shares of Class A Common Stock at the option of the Reporting Person, and will be automatically converted upon (i) a transfer by the Reporting Person (other than a permitted transfer) or (ii) the first trading day after the seventh anniversary date of the Closing Date.
/s/ Laurie L. Green as Attorney-in-Fact for Keyvan Samini
2023-12-26