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*
Morin Sheila

(Last) (First) (Middle)
480 FERNAND POITRAS

(Street)
TERREBONNE A8 J6Y1Y4

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/06/2020
3. Issuer Name and Ticker or Trading Symbol
Loop Industries, Inc. [ LOOP ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CMO
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)
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
Restricted stock units (1) (1) Common stock 19,516 (2) D
Explanation of Responses:
1. The restricted stock units ("RSU") shall vest on the following date (each a "Vesting Date"), subject to the Reporting Person continuing to be a service provider through such date: Sept. 21, 2022: 20%, Sept. 21, 2023: 20%, Sept. 21, 2024: 20%, and Sept. 21, 2025: 40%. The shares of Loop Industries, Inc.'s (the "Issuer") common stock delivered pursuant to these RSUs shall be delivered within 60 days following each Vesting Date.
2. Each represents a contingent right to receive one share of the Issuer's common stock.
Remarks:
Exhibit List: Exhibit 24 -Power of Attorney
/s/ Sheila Morin 10/07/2020
** 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.