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) 08/29/2022 | 3. Issuer Name and Ticker or Trading Symbol PowerFleet, Inc. [ PWFL ] | |||||||||||||
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, par value $0.01 per share | 40,000(1) | D |
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 | ||||
Employee Stock Options (right to buy) | (2) | 02/14/2032 | Common Stock, par value $0.01 per share | 80,000 | 3.64 | D | |
Employee Stock Options (right to buy) | (3) | 02/14/2032 | Common Stock, par value $0.01 per share | 160,000 | 3.64 | D |
Explanation of Responses: |
1. Consists of 40,000 restricted shares of common stock, par value $0.01 per share ("Common Stock"), of PowerFleet, Inc. (the "Company") granted to James Zeitunian (the "Reporting Person") under the Company's 2018 Incentive Plan, as amended (the "2018 Plan"), which vest as to 25% of such shares on each of the first, second, third and fourth anniversaries of February 14, 2022 (the "Grant Date"), provided that the Reporting Person is employed by the Company on each such date. |
2. On the Grant Date, the Reporting Person was granted options to purchase 80,000 shares of Common Stock under the 2018 Plan. Subject to the terms and conditions of a stock option grant agreement and the 2018 Plan, this award vests as to 25% of such options on each of the first, second, third and fourth anniversaries of the Grant Date, provided that the Reporting Person is employed by the Company on each such date. |
3. On the Grant Date, the Reporting Person was granted options to purchase 160,000 shares of Common Stock under the 2018 Plan. Subject to the terms and conditions of a stock option grant agreement and the 2018 Plan, this award vests in full if the volume weighted average price of the Common Stock during a consecutive 60 trading day period (the "60 Day VWAP") reaches $12.00 per share, provided that the Reporting Person is employed by the Company on such date. |
Remarks: |
Exhibit 24 - Power of Attorney. |
/s/ James S. Zeitunian | 09/07/2022 | |
** 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. |