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)
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2. Date of Event Requiring Statement
(Month/Day/Year) 07/31/2023 |
3. Issuer Name and Ticker or Trading Symbol
Electriq Power Holdings, Inc. [ ELIQ ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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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 Shares | 12,930,494 | I | Held by Greensoil Canadian and Greensoil International(1)(2) |
Preferred Shares | 50,000 | I | Held by Greensoil Canadian and Greensoil International(1)(2) |
Common Shares | 1,264,944 | I | Held by Greensoil Innovation(2)(3) |
Common Shares | 377,430 | I | Held by Minett Capital Inc.(2)(4) |
Common Shares | 193,750 | I | Held by Minett EQ Inc.(2)(5) |
Common Shares | 8,125 | I | Held by GMS Capital Canada, Inc.(2)(6) |
Preferred Shares | 3,250 | I | Held by GMS Capital Canada, Inc.(2)(6) |
Preferred Shares | 75,000 | I | Held by Minett Capital Inc.(2)(4) |
Preferred Shares | 77,500 | I | Held by Minett EQ Inc.(2)(5) |
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 |
Explanation of Responses: |
1. The shares are held by parallel funds Greensoil Building Innovation Fund (Canadian) L.P. ("Greensoil Canadian") and Greensoil Building Innovation Fund (International) L.P. ("Greensoil International."). The reporting person is the fund manager for both Greensoil (Canadian) and Greensoil (International) and is controlled by a three-person investment committee. |
2. The reporting person has a contractual right to appoint a director to the board of directors of the Issuer pursuant to a Stockholders' Agreement dated November 13, 2022. |
3. The shares are held by Greensoil Building Innovation Fund Co-Investment I, L.P. ("Greensoil Innovation"). The reporting person is the fund manager for Greensoil Innovation and is controlled by a three-person investment committee. |
4. These shares are held by Minett Capital Inc. and is owned by one of three individual investment committee managers which control the reporting person. |
5. The shares are held by Minett EQ Inc. and is owned by one of the three individual investment committee managers which control the reporting person. |
6. The shares are held by GMS Capital Canada, Inc. and is owned by one of the three individual investment committee managers which control the reporting person. |
GBIF Management Ltd. by Gideon Soesman, Co-founder & Managing Partner | 08/10/2023 | |
/s/ Gideon Soesman, Co-founder & Managing Partner | 08/10/2023 | |
** 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. |