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