Statement of Changes in Beneficial Ownership (4)
November 23 2021 - 6:41PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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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
*
VALIASEK KATHLEEN |
2. Issuer Name and Ticker or Trading Symbol
Local Bounti Corporation/DE
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LOCL
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Chief Financial Officer |
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(Last)
(First)
(Middle)
C/O LOCAL BOUNTI CORPORATION, 490 FOLEY LANE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/19/2021 |
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(Street)
HAMILTON, MT 59840
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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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)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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| Common Stock | 11/19/2021 | | A | | 1552445 (1)(2) | A | (2) | 1552445 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: 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 |
| Explanation of Responses: |
| (1) | Includes (i) 496,967 Restricted Stock Units ("RSUs") awarded under the Issuer's the 2020 Equity Incentive Plan, as amended from time to time ("the 2020 Plan"), subject to the continuous service of the Reporting Person on each vesting date: 10% will vest on the one May 1, 2022 with the remaining RSUs vesting in three (3) annual 30% installments thereafter and (ii) 1,055,478 Restricted Stock shares awarded under the 2020 Plan which will vest as follows: 10% will vest on March 15, 2022 with the remaining Restricted Stock shares vesting in three (3) annual 30% installments thereafter. |
| (2) | Received pursuant to certain Agreement and Plan of Merger (as it may be amended, supplemented or otherwise modified from time to time), dated as of June 17, 2021, by and among Leo Holdings III Corp, a Cayman Islands exempted company, Longleaf Merger Sub, Inc., a Delaware corporation, Longleaf Merger Sub II, LLC, a Delaware limited liability company, and the Issuer. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
VALIASEK KATHLEEN
C/O LOCAL BOUNTI CORPORATION
490 FOLEY LANE
HAMILTON, MT 59840 |
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| Chief Financial Officer |
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Signatures
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| /s/ Kathleen Valiasek | | 11/23/2021 |
| **Signature of Reporting Person | Date |
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