SEC Form 4
FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol ChargePoint Holdings, Inc. [ CHPT ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 06/15/2021 | ||||||||||||||||||||||||||
4. 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 Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 06/15/2021 | X(1) | 22,337 | A | $1.25 | 3,053,849 | I | See Footnotes(2)(8) | ||
Common Stock | 06/15/2021 | S(1) | 1,129 | D | $24.77 | 3,052,720 | I | See Footnotes(2)(8) | ||
Common Stock | 1,830,332 | I | See Footnotes(3)(8) | |||||||
Common Stock | 351,151 | I | See Footnotes(4)(8) | |||||||
Common Stock | 2,702,655 | I | See Footnotes(5)(8) | |||||||
Common Stock | 11,593,882 | I | See Footnotes(6)(8) | |||||||
Common Stock | 886,130 | I | See Footnotes(7)(8) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrant (right to buy) | $1.25 | 06/15/2021 | X | 22,337 | 02/26/2021 | 06/20/2021 | Common Stock | 22,337 | $0.00 | 0 | I | See Footnotes(2)(8) |
Explanation of Responses: |
1. The Reporting Person exercised a warrant to purchase 22,337 shares of the Issuer's Common Stock for $1.25 per share and paid the exercise price on a cashless basis, resulting in the Issuer withholding 1,129 shares of the Issuer's shares of common stock subject to the warrant to pay the exercise price. |
2. The Shares are held directly by ChargePoint Investments LLC. (together with the entities listed in footnotes (3)-(7), the "Braemar Funds"). |
3. The Shares are held directly by Braemar ChargePoint Investments III, LLC. |
4. The Shares are held directly by Braemar CP Investments 2019 LLC. |
5. The Shares are held directly by Braemar CP Investments II 2020, LLC. |
6. The Shares are held directly by Braemar Energy Ventures III, L.P. |
7. The Shares are held directly by ChargePoint Investments II, LLC. |
8. Mr. Suslak is the Managing Partner of Braemar Energy Ventures, which is the General Partner of each of the Braemar Funds. Mr. Suslak shares voting and investment power over the shares held by each of the Braemar Funds with William D. Lese and Donald F. Tappan, III. Each of Messrs. Suslak, Lese and Tappan disclaim beneficial ownership of the securities held by the Braemar Funds. |
Remarks: |
/s/ Henrik Gerdes - Attorney-in-Fact | 07/09/2021 | |
** 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 4 (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. |