SEC Form 3 · accession 0001493152-26-040605
Polar Power, Inc. · POLA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Menachem Shalom
Director
Period of report
Aug 17, 2026
Accepted (ET)
Aug 28, 2026 · 4:30 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001622345
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible NoteF2,F1 | — | holding | — | — | — | Jun 30, 2026 | Dec 30, 2027 | Common Stock | 763,889 | — | I |
| Common Stock Purchase WarrantF2,F3 | $1.64 | holding | — | — | — | Jul 21, 2026 | Jul 21, 2029 | Common Stock | 83,841 | — | I |
Explanation of responses
- F1The maximum number of shares issuable upon conversion of the Convertible Note is 763,889 shares of the issuer's common stock, par value $0.0001 per share (the "Common Stock"). The conversion price equals 90% of the lowest daily VWAP of the Issuer's Common Stock in the 7 trading days ending on the date of the delivery of the applicable conversion notice, subject to a floor price while the Common Stock is listed on the trading market. The figure of 763,889 assumes that the Convertible Note converts at the floor price set forth in the Convertible Note. The exact number of shares that may be issued is not currently determinable because the applicable conversion prices are variable and are determined by reference to the market price of our Common Stock at the time of conversion. The conversion of the Convertible Note is subject to a beneficial ownership limitation of 9.99% of the outstanding shares of Common Stock.
- F2Consists of securities held by Mayers Ventures LLC ("Mayers"), and may be deemed to be indirectly beneficially owned by Menny Shalom, who may be deemed to have sole voting and dispositive power with respect to the shares held by Mayers. Mr. Shalom disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest he may have therein, directly or indirectly.
- F3The exercise of the Common Stock Purchase Warrant is subject to a beneficial ownership limitation of 9.99% of the outstanding shares of Common Stock.