SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Rosinack Matthew W.

(Last) (First) (Middle)
C/O BERKELEY LIGHTS, INC.
5858 HORTON STREET, SUITE 320

(Street)
EMERYVILLE CA 94608

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/20/2020
3. Issuer Name and Ticker or Trading Symbol
Berkeley Lights, Inc. [ BLI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, Chief Accounting Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 16,250 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (1) 05/31/2026 Common Stock 41,041 2.5 D
Stock Option (2) 04/04/2027 Common Stock 10,000 2.54 D
Stock Option (3) 01/17/2028 Common Stock 21,250 2.24 D
Stock Option (4) 02/06/2029 Common Stock 17,708 6.26 D
Stock Option (5) 03/10/2030 Common Stock 17,726 11.06 D
Stock Option (6) 03/10/2030 Common Stock 274 11.06 D
Explanation of Responses:
1. The stock option is currently exercisable
2. The stock option is currently vested with respect to 8,752 shares, and will vest with respect to the remainder of the shares in equal monthly installments until fully vested on March 1, 2021.
3. The stock option is currently vested with respect to 8,753 shares, and will vest with respect to the remainder of the shares in equal monthly installments until fully vested on January 18, 2022.
4. The stock option is currently vested with respect to 7,011 shares, and will vest with respect to the remainder of the shares in equal monthly installments until fully vested on February 7, 2023.
5. The stock option is currently vested with respect to 2,625 shares, and will vest with respect to the remainder of the shares in equal monthly installments until fully vested on February 1, 2024.
6. The stock option is currently vested with respect to 0 shares, and will vest with respect to the remainder of the shares in equal monthly installments until fully vested on December 1, 2021.
Stuart L. Merkadeau, Attorney-in-fact for Matthew W. Rosinack 09/22/2020
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.