Annual Statement of Changes in Beneficial Ownership (5)
18 Januar 2023 - 5:35PM
Edgar (US Regulatory)
FORM 5
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
[ ]
Form 3 Holdings Reported
[ ]
Form 4 Transactions Reported |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0362
Estimated average burden hours per response...
1.0
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
GUSTAFSON MICHAEL B | 2. Issuer Name and Ticker or Trading SymbolMatterport, Inc./DE [MTTR] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
|
(Last)
(First)
(Middle)
C/O MATTERPORT, INC., 352 EAST JAVA DRIVE | 3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) 12/31/2022 |
(Street)
SUNNYVALE, CA 94089
(City)
(State)
(Zip)
| 4. If Amendment, Date Original Filed(MM/DD/YYYY) | 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 Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security (Instr. 3) | 2. Trans. Date | 2A. Deemed Execution Date, if any | 3. Trans. Code (Instr. 8) | 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) |
Amount | (A) or (D) | Price |
Class A Common Stock | | | | | | | 143635.00 (1) | D | |
Class A Common Stock | | | | | | | 33024.00 | I | See footnote (2) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
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 (MM/DD/YYYY) | 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 at End of Issuer's Fiscal Year (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Units | | | | | | | (4) | (4) | Class A Common Stock | 38126.00 | | 38126.00 | D | |
Stock Option | $0.35 | | | | | | (5) | 1/17/2028 | Class A Common Stock | 475645.00 (1) | | 475645.00 (1) | D | |
Explanation of Responses: |
(1) | Amount of securities beneficially owned was previously overstated by an immaterial number of shares; the amount shown above reflects the current number of shares as of December 31, 2022. |
(2) | Following the transactions reported herein, each of the Brock M. Gustafson Trust and the Ashley E. Gustafson Trust hold 16,512 shares of Class A Common Stock of the Issuer. |
(3) | Each restricted stock unit represents a contingent right to receive one share of the Company's Class A Common Stock. |
(4) | The RSUs shall vest in full on the earlier to occur of (i) July 6, 2023 and (ii) the date of the Company's 2023 annual meeting of shareholders, subject to the Reporting Person's continued service with the Company through such vesting date. |
(5) | The stock option is currently vested and fully exercisable. |
Remarks: Exhibit 24 - Power of Attorney. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
GUSTAFSON MICHAEL B C/O MATTERPORT, INC. 352 EAST JAVA DRIVE SUNNYVALE, CA 94089 | X |
|
|
|
Signatures
|
/s/ Matthew Zinn, Attorney-in-Fact | | 1/18/2023 |
**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. |
Gores Holdings VI (NASDAQ:GHVI)
Historical Stock Chart
Von Mai 2024 bis Jun 2024
Gores Holdings VI (NASDAQ:GHVI)
Historical Stock Chart
Von Jun 2023 bis Jun 2024
Echtzeit-Nachrichten über Gores Holdings VI Inc (NASDAQ): 0 Nachrichtenartikel
Weitere Matterport, Inc./de News-Artikel