Form 4: Lucira Health, Inc. (LHDX), Allen Anthony Joseph, transaction 09/30/2021
Summary
Anthony Joseph Allen, Chief Operations Officer of Lucira Health, Inc. [ LHDX ], reports a grant of 197,240 Restricted Stock Units on 09/30/2021, payable solely in common stock of the issuer and entered at $ 0.00. They vest over four years from a vesting start date of September 20, 2021, with 25% on the first anniversary and the remainder in 12 equal quarterly installments thereafter. The 197,240 shares are the whole direct holding after the grant. The form is signed /s/ Daniel George, Attorney-in-Fact for Anthony Joseph Allen, 10/01/2021.
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Cite this document
“Form 4: Lucira Health, Inc. (LHDX), Allen Anthony Joseph, transaction 09/30/2021.”
Original at www.sec.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/sec-lhdx-4-filed2021-10-01-0001209191-21-058566-0f2c1a1a2a/
, SHA-256 bdda2fed6e20ab050e1d315974a4457be3b65a56f80b13143ff00b0ca36915bf.Full text
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 | OMB APPROVAL OMB Number: 3235-0287 Estimated average burden hours per response: 0.5 | OMB APPROVAL | OMB Number: 3235-0287 Estimated average burden hours per response: 0.5 | OMB Number: | 3235-0287 | Estimated average burden | hours per response: | 0.5
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 * Allen Anthony Joseph (Last) (First) (Middle) C/O LUCIRA HEALTH, INC. 1412 62ND STREET (Street) EMERYVILLE CA 94608 (City) (State) (Zip) | Allen Anthony Joseph | (Last) | (First) | (Middle) | C/O LUCIRA HEALTH, INC. | 1412 62ND STREET | EMERYVILLE | CA | 94608 | (City) | (State) | (Zip) | 2. Issuer Name and Ticker or Trading Symbol Lucira Health, Inc. [ LHDX ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) Chief Operations Officer | Director | 10% Owner | X | Officer (give title below) | Other (specify below) | Chief Operations Officer
3. Date of Earliest Transaction
(Month/Day/Year) 09/30/2021
4. If Amendment, Date of Original Filed
(Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person | X | Form filed by One Reporting Person | Form filed by More than One Reporting Person
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 | 09/30/2021 | A | 197,240 (1) | A | $ 0.00 | 197,240 | D
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
Explanation of Responses:
1. Represents grant of Restricted Stock Units (the "RSUs") payable solely in common stock of the Issuer that vest over a four-year period commencing on September 20, 2021 ("vesting start date"), with 25% of the shares subject to the RSUs vesting on the first anniversary of the vesting start date and the remainder of the shares subject to the RSUs vesting in 12 equal quarterly installments thereafter.
Remarks:
/s/ Daniel George, Attorney-in-Fact for Anthony Joseph Allen | 10/01/2021
** 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.
File and source
- File
- SEC_LHDX_4_filed2021-10-01_0001209191-21-058566.xml
- Size
- 15,366 bytes
- SHA-256
- bdda2fed6e20ab050e1d315974a4457be3b65a56f80b13143ff00b0ca36915bf
- Original
- www.sec.gov