SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 06/28/2021 | 3. Issuer Name and Ticker or Trading Symbol META MATERIALS INC. [ MMAT ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 2,650,992 | D | |
Common Stock | 3,307,775 | I | By Spouse |
Common Stock | 22,982,397 | I | See Footnote(1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (Right to Buy) | (2) | 08/09/2029 | Common Stock | 151,709 | 0.27 | D | |
Stock Option (Right to Buy) | (3) | 03/23/2030 | Common Stock | 2,952,000 | 0.27 | D | |
Deferred Stock Units | (4) | (4) | Common Stock | 1,461,240 | (4) | D | |
Warrant (right to buy) | (5) | 03/05/2023 | Common Stock | 7,485 | 0.39 | D | |
Stock Option (Right to Buy) | (6) | 12/01/2028 | Common Stock | 106,549 | 0.27 | I | By Spouse |
Stock Option (Right to Buy) | (7) | 12/15/2030 | Common Stock | 49,813 | 0.27 | I | By Spouse |
Deferred Stock Units | (4) | (4) | Common Stock | 324,720 | (4) | I | By Spouse |
Explanation of Responses: |
1. The reported securities held by Lamda Guard Technologies Ltd. The reporting person and his spouse hold a percentage of Lamda Guard Technologies Ltd. |
2. 100% of the Shares subject to the option vest on March 6, 2020. |
3. Subject to the reporting person continuing to provide services to the company through each vesting event, 50% of the shares subject to the option will vest annually over two years beginning on March 23, 2021, such that the shares are fully vested on March 23, 2022. |
4. Each Deferred Stock Unit (DSU) represents a vested right to receive the value of one share of the Company's common stock on the applicable settlement dates. DSUs do not have an expiration date. |
5. Warrant is immediately exercisable. |
6. Subject to the optionee continuing to provide services to the company, 25% of the shares subject to the option will vest on the one year anniversary of the vesting commencement date, and thereafter the remaining shares subject to the option will vest in equal monthly installments over the next 36 months on the same day of the month as the vesting commencement date. The vesting commencement date is December 1, 2018. |
7. Subject to the optionee continuing to provide services to the company, 25% of the shares subject to the option will vest on the one year anniversary of the vesting commencement date, and thereafter the remaining shares subject to the option will vest in equal monthly installments over the next 36 months on the same day of the month as the vesting commencement date. The vesting commencement date is December 15, 2020. |
Remarks: |
Chief Executive Officer and President Exhibit 24 - Power of Attorney |
/s/ Ken Rice, as Attorney-in-Fact | 07/08/2021 | |
** 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 5 (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 Number. |