SEC Form 4/A · accession 0001691541-18-000002
Polar Power, Inc. · POLA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Arthur D. Sams
Officer — President, CEO, and Secretary · Director · 10% Owner
Period of report
Apr 2, 2018
Accepted (ET)
Aug 14, 2018 · 7:05 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F1,F2 | $5.60 | Apr 2, 2018 | A | 150,000 | A | — | Apr 2, 2028 | Common Stock | 150,000 | 150,000 | D |
Explanation of responses
- F1The original Form 4, filed on April 4, 2018, is being amended by this Form 4 amendment solely to correct a scrivener's error which misreported the exercise price of the option as $5.47 when, in fact, the exercise price of the option is $5.60 per share.
- F2Subject to the award recipient continuing to be employed by the Issuer or an Affiliate (as defined in the Issuer's 2016 Omnibus Incentive Plan) through each applicable vesting date, the option will vest as follows: one-third of the shares subject to the option shall vest and become exercisable on each of April 2, 2019, April 2, 2020 and April 2, 2021.