SEC Form 4 · accession 0001493152-26-040135
MOBIX LABS, INC · MOBX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Keyvan Samini
Officer — President, CFO & Director · Director
Period of report
Aug 21, 2026
Accepted (ET)
Aug 25, 2026 · 7:30 pm EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0001855467
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Aug 21, 2026 | C | 12,500 | $0.00 | A | 29,614 | I | By KSSF Trust |
| Class A Common Stock | holding | — | — | — | 155,053 | D | ||
| Class A Common StockF1 | holding | — | — | — | 7,353 | I | By KSLI Trust | |
| Class A Common StockF1 | holding | — | — | — | 7,352 | I | By SSLI Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF1,F3 | — | Aug 21, 2026 | C | 12,500 | D | — | — | Class A Common Stock | 12,500 | 0 | I |
| Option (Right to Buy)F2 | $1.70 | holding | — | — | — | — | Aug 10, 2030 | Class A Common Stock | 32,353 | 32,352 | D |
Explanation of responses
- F1The Reporting Person is a trustee of this trust. The Reporting Person disclaims beneficial ownership of the securities held by this trust except to the extent of his respective pecuniary interest therein.
- F2These options are fully vested and exercisable.
- F3Represents the conversion, on a one-for-one basis, of all 12,500 shares of Class B Common Stock held by the KSSF Trust into 12,500 shares of Class A Common Stock, pursuant to the terms of the Company's Certificate of Incorporation. No consideration was paid in connection with the conversion.