Statement of Changes in Beneficial Ownership (4)
26 May 2021 - 1:24AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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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
*
JENKINS HOWARD M |
2. Issuer Name and Ticker or Trading Symbol
Hyliion Holdings Corp.
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HYLN
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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)
1202 BMC DRIVE, SUITE 100 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
5/24/2021 |
(Street)
CEDAR PARK, TX 78613
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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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Common Stock | 5/24/2021 | | G(1) | | 4000000 | D | $0 | 12656790 | I | By LLC (2) |
Common Stock | | | | | | | | 10000 | D | |
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 |
Explanation of Responses: |
(1) | This transaction involved a gift of securities by Axioma Ventures, LLC ("Ventures") to the reporting person's adult son, who does not share reporting person's household. The reporting person disclaims beneficial ownership of the shares held by his adult son, and this report should not be deemed an admission that the reporting person is the beneficial owner of his adult son's shares for purposes of Section 16 or for any other purpose. The sole member of Ventures is Axioma Holdings, LLC ("Holdings"). The sole manager of Holdings is Axioma Management, LLC ("Management"). Howard Jenkins, Alexander Jenkins (the reporting person's adult son) and Kiran Lingam are managers of Management. |
(2) | Shares are held directly by Ventures. The reporting person disclaims beneficial ownership of such shares held by Ventures, except to the extent of his pecuniary interest therein. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
JENKINS HOWARD M 1202 BMC DRIVE SUITE 100 CEDAR PARK, TX 78613 | X |
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Signatures
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/s/ Howard M. Jenkins | | 5/24/2021 |
**Signature of Reporting Person | Date |
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