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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
| 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 control number. | SEC 1474 (9-02) | ||
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1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Restricted Stock Units | $ 0 (2) | (3) | (3) | Class A Common Stock, par value $0.0001 per share | 638 (1) | 638 (1) | D | ||||||||
| Restricted Stock Units | $ 0 (2) | (4) | (4) | Class A Common Stock, par value $0.0001 per share | 4,000 (1) | 4,000 (1) | D | ||||||||
| Restricted Stock Units | $ 0 (2) | (5) | (5) | Class A Common Stock, par value $0.0001 per share | 709 (1) | 709 (1) | D | ||||||||
| Restricted Stock Units | $ 0 (2) | (6) | (6) | Class A Common Stock, par value $0.0001 per share | 6,340 (1) | 6,340 (1) | D | ||||||||
| Restricted Stock Units | $ 0 (2) | (7) | (7) | Class A Common Stock, par value $0.0001 per share | 3,120 (1) | 3,120 (1) | D | ||||||||
| Performance-Based Restricted Stock Units | $ 0 (8) | (9) | (9) | Class A Common Stock, par value $0.0001 per share | 2,441 (1) | 2,441 (1) | D | ||||||||
| Reporting Owner Name / Address | Relationships | |||
| Director | 10% Owner | Officer | Other | |
| ZAVOLI JOHN R C/O HYZON MOTORS INC. 599 SOUTH SCHMIDT ROAD BOLINGBROOK, IL 60440 |
GC & Chief Legal Officer | |||
| /s/ John Zavoli | 09/19/2024 | |
| **Signature of Reporting Person | Date |
| * | If the form is filed by more than one reporting person, see Instruction 4(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). |
| (1) | The number of shares beneficially owned reflects the 1-for-50 reverse stock split effected September 11, 2024. |
| (2) | Each Restricted Stock Unit (RSU) represents a contingent right to receive one share of Hyzon Motors, Inc. Class A Common Stock. |
| (3) | Restricted stock units vest 100% on the anniversary of the Grant Date, subject to continued employment with the Issuer. |
| (4) | Restricted stock units will fully vest on the second anniversary of the Grant Date, subject to continued employment with the Issuer. |
| (5) | Restricted stock units granted under the Hyzon Motors Inc. 2020 Stock Incentive Plan, granted on February 18, 2021 (the "Grant Date"); restricted stock units vest pursuant to a five year vesting schedule, whereby one-sixth of the total number of shares vested on the Grant Date, subject to deferral to September 22, 2021, and each year on the anniversary of the Grant Date, subject to continued employment with the Issuer. Each restricted stock unit represents a contingent right to receive one share of Class A Common Stock. |
| (6) | Restricted stock units vest 50% on the first and second anniversary of the Grant Date, subject to continued employment with the Issuer. |
| (7) | Restricted stock units vest pursuant to a four year vesting schedule, whereby one-fourth of the total number of shares vest each year on the anniversary of the Grant Date, subject to continued employment with the Issuer. |
| (8) | Each Performance-Based Restricted Stock Unit (PSU) or Restricted Stock Unit (RSU) represents a contingent right to receive one share of Hyzon Motors, Inc. Class A Common Stock. |
| (9) | Represents settlement of a performance-based restricted stock unit (PSU) granted on June 30, 2023 (Grant Date). On March 6, 2024, the Company's Compensation Committee determined that 183,040 PSUs eligible to be earned by the Reporting Person have been earned based on a combination of Company goals, functional goals, and individual goals of such Reporting Person. Pursuant to the PSU agreement, for the PSUs that have been earned, one-third will vest on each of the first, second and third anniversaries of the Grant Date. Vesting is subject to the Reporting Person remaining in continuous service through the vesting date. This footnote relates to pre-reverse split conditions. |