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Cyngn Inc. — Director's Dealing 2021
Oct 22, 2021
34666_dirs_2021-10-22_c87d46a3-66be-41cd-b4c2-0421c23399e6.zip
Director's Dealing
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SEC Form 4 — Statement of Changes in Beneficial Ownership
Issuer: Cyngn, Inc. (CYN)
CIK: 0001874097
Period of Report: 2021-10-22
Reporting Person: Andreessen Horowitz Fund III, L.P. (10% Owner)
Reporting Person: AH Equity Partners III, L.L.C. (10% Owner)
Reporting Person: Andreessen Marc L (10% Owner)
Reporting Person: Andreessen Horowitz Fund III-A, L.P. (10% Owner)
Reporting Person: Andreessen Horowitz Fund III-B, L.P. (10% Owner)
Reporting Person: Andreessen Horowitz Fund III-Q, L.P. (10% Owner)
Reporting Person: HOROWITZ BENJAMIN A (10% Owner)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2021-10-22 | Common Stock | C | 4947110 | — | Acquired | 4947110 | Indirect |
| 2021-10-22 | Common Stock | C | 287718 | — | Acquired | 287718 | Indirect |
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2021-10-22 | Series B Preferred Stock | $ | C | 4947110 | Disposed | Common Stock (4947110) | Indirect | |
| 2021-10-22 | Series C Preferred Stock | $ | C | 287718 | Disposed | Common Stock (287718) | Indirect |
Footnotes
F1: These shares of Preferred Stock automatically converted into shares of the Issuer's Common Stock on a 1-for-1 basis, without payment or further consideration, immediately prior to the consummation of the Issuer's initial public offering.
F2: These securities are held by Andreessen Horowitz Fund III, L.P., for itself and as nominee for Andreessen Horowitz Fund III-A, L.P., Andreessen Horowitz Fund III-B, L.P., and Andreessen Horowitz Fund III-Q, L.P. (collectively, the "AH Fund III Entities"). AH Equity Partners III, L.L.C. ("AH EP III") is the general partner of the AH Fund III Entities and has sole voting and dispositive power with regard to the securities held by the AH Fund III Entities. Marc Andreessen and Benjamin Horowitz are the managing members of AH EP III and share voting and dispositive power with respect to the shares held by the AH Fund III Entities. Each of the Reporting Persons disclaims the existence of a "group" and disclaims beneficial ownership of the securities held by the AH Fund III Entities and this report shall not be deemed an admission that any such person is the beneficial owner of such securities, except to the extent of such person's pecuniary interest therein, if any.