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 |
|
|||||||||||||||
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
TIGO ENERGY, INC. [ TYGO ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
||||||||||||||||||||||||
3. Date of Earliest Transaction
(Month/Day/Year) 01/08/2024 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
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 | 01/08/2024 | M | 46,670(1) | A | $0.26 | 62,974(1) | D | |||
Common Stock | 1,123,656 | I | See footnote(2) | |||||||
Common Stock | 35,000 | I | See footnote(3) | |||||||
Common Stock | 35,000 | I | See footnote(4) | |||||||
Common Stock | 35,000 | I | See footnote(5) | |||||||
Common Stock | 35,000 | I | See footnote(6) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | ||||||||
Stock Option (Right to Buy) | $0.26 | 01/08/2024 | M | 46,670(7) | (8) | 02/03/2024 | Common Stock | 46,670 | $0 | 0 | D |
Explanation of Responses: |
1. Includes 16,304 shares of common stock, par value $0.0001 per share ("Common Stock"), underlying restricted stock units ("RSUs") granted to the reporting person on August 11, 2023 (the "Grant Date") pursuant to the Issuer's 2023 Incentive Plan. The RSUs will vest in full, and an equal number of shares of Common Stock will be deliverable to the reporting person, on the first anniversary of the Grant Date, subject to continued service through such vesting date. |
2. (2) The shares reported are owned by the SPLINTER ROBOOSTOFF REV TRUST UAD 1/23/97, for which the reporting person serves as Trustee and exercises investing authority over such shares. |
3. (3) The shares reported are owned by the AMANDA CHRISTINE SPLINTER 2012 IRREVOCABLE TRUST DTD 08/10/2012, for which the reporting person serves as Trustee and exercises investing authority over such shares. |
4. (4) The shares reported are owned by the ARCHIE DAVID ROBOOSTOFF 2012 IRREVOCABLE TRUST DTD 08/10/2012, for which the reporting person serves as Trustee and exercises investing authority over such shares. |
5. (5) The shares reported are owned by the JOSHUA MICHAEL SPLINTER 2012 IRREVOCABLE TRUST DTD 08/10/2012, for which the reporting person serves as Trustee and exercises investing authority over such shares. |
6. The shares reported are owned by the KRISTA DIANE FENSKE 2012 IRREVOCABLE TRUST DTD 08/10/2012, for which the reporting person serves as Trustee and exercises investing authority over such shares. |
7. Reflects the number of stock options granted to the reporting person on February 4, 2014, which was reported as 46,667 stock options on the reporting person's Form 4 filed on May 25, 2023. The difference is due to the finalization of the exchange ratio after the Issuer's previously announced business combination. |
8. The stock option was immediately exercisable on February 4, 2014, which was the date of grant. |
/s/ Bill Roeschlein, as attorney-in-fact | 01/10/2024 | |
** 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. |