0001213900-21-060337.txt : 20211117 0001213900-21-060337.hdr.sgml : 20211117 20211117163028 ACCESSION NUMBER: 0001213900-21-060337 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211116 FILED AS OF DATE: 20211117 DATE AS OF CHANGE: 20211117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cunningham Colleen CENTRAL INDEX KEY: 0001888954 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40932 FILM NUMBER: 211420943 MAIL ADDRESS: STREET 1: 1015 O'BRIEN DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Cyngn Inc. CENTRAL INDEX KEY: 0001874097 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] IRS NUMBER: 462007094 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 1015 O'BRIEN DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-924-5905 MAIL ADDRESS: STREET 1: 1015 O'BRIEN DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER COMPANY: FORMER CONFORMED NAME: Cyngn, Inc. DATE OF NAME CHANGE: 20210721 4 1 ownership.xml X0306 4 2021-11-16 0 0001874097 Cyngn Inc. CYN 0001888954 Cunningham Colleen 1015 O'BRIEN DR. MENLO PARK CA 94025 1 0 0 0 Stock Option (right to buy) 6.88 2021-11-16 4 A 0 9868 0.00 A 2021-11-16 2031-11-15 Common Stock 9868 9868 D /s/ Colleen Cunningham 2021-11-17