Amended Statement of Changes in Beneficial Ownership (4/a)
01 February 2023 - 4:25AM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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
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Calderon Nancy E. |
2. Issuer Name and Ticker or Trading Symbol
Arcimoto Inc
[
FUV
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
C/O ARCIMOTO, INC. 2034 WEST 2ND AVENUE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
1/25/2023 |
(Street)
EUGENE, OR 97402
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
1/26/2023 |
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 7. Title and Amount of Securities Underlying Derivative Security (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) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Unit | $0 (1) | 1/25/2023 | | A | | 6990 | | (2) | (2) | Common Stock | 6990 | $0 | 8840 (3) | D | |
Explanation of Responses: |
(1) | Each restricted stock unit represents a contingent right to receive one share of the issuer's common stock. |
(2) | The restricted stock units are fully vested. The restricted stock units will be distributed in a lump sum payment in the form of common stock, on the 90th business day following the date of the reporting person's termination of service. |
(3) | This Form 4/A is being filed to amend the Form 4 filed on January 26, 2023 (the "Original Report"), to correct an inadvertent administrative error in the number of securities reported as beneficially owned following the reported transaction on the Original Report. On November 30, 2022 the issuer split its common stock in a one-for-20 reverse stock split (the "Reverse Split"). The number of securities reported on this Form 4/A have been adjusted to reflect the Reverse Split. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Calderon Nancy E. C/O ARCIMOTO, INC. 2034 WEST 2ND AVENUE EUGENE, OR 97402 | X |
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Signatures
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/s/ Nancy E. Calderon, by Nelson Mullins Riley & Scarborough with Power of Attorney | | 1/31/2023 |
**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 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). |
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 control number. |
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