0001213900-22-071335.txt : 20221110 0001213900-22-071335.hdr.sgml : 20221110 20221110172056 ACCESSION NUMBER: 0001213900-22-071335 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221108 FILED AS OF DATE: 20221110 DATE AS OF CHANGE: 20221110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Landen Ben CENTRAL INDEX KEY: 0001889093 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40932 FILM NUMBER: 221378659 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 2022-11-08 0 0001874097 Cyngn Inc. CYN 0001889093 Landen Ben 1015 O'BRIEN DR. MENLO PARK CA 94025 0 1 0 0 VP of Business Development Employee Stock Option (right to buy) 0.98 2022-11-08 4 A 0 258000 0 A 2032-11-07 Common Stock 258000 258000 D 1/48th of the shares subject to the stock option will vest and become exercisable in monthly installments, commencing on the grant date. /s/ Ben Landen 2022-11-10