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 |
OMB APPROVAL |
OMB Number: | 3235-0104 |
Estimated average burden |
hours per response: | 0.5 |
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1. Name and Address of Reporting Person*
3151 BRIARPARK DRIVE, SUITE 400 |
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(Street)
| 2. Date of Event Requiring Statement
(Month/Day/Year) 11/3/22 | 3. Issuer Name and Ticker or Trading Symbol
NUSCALE POWER Corp
[ SMR ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| Director | X | 10% Owner |
| Officer (give title below) |
| Other (specify below) |
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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)
| Form filed by One Reporting Person |
X | Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
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)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
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)
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Paired Interests | | | Class A Common Stock | 19,285,070 | | D |
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1. Name and Address of Reporting Person*
3151 BRIARPARK DRIVE, SUITE 400 |
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(Street)
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1. Name and Address of Reporting Person*
4-1, OHTEMACHI 1-CHOME, CHIYODA-KU |
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(Street)
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1. Name and Address of Reporting Person*
2 CHOME-3-1 MINATOMIRAI, NISHI WARD |
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(Street)
YOKOHAMA, KANAGAWA | M0 | 220-6001 |
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1. Name and Address of Reporting Person*
3151 BRIARPARK DRIVE, SUITE 400 |
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(Street)
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1. Name and Address of Reporting Person*
TOYOSU IHIBLDG1-1 TOYOSU 3-CHOME KOTO-KU |
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(Street)
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1. Name and Address of Reporting Person*
1251 AVENUE OF THE AMERICAS, SUITE 750 |
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(Street)
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Explanation of Responses: |
Remarks: | |
| JAPAN NUSCALE INNOVATION, LLC /s/ Yasuharu Kimura Name: Yasuharu Kimura Title: Chairperson of the Board | 11/10/22 |
| JAPAN BANK FOR INTERNATIONAL COOPERATION /s/ Kentaro Morita Name: Kentaro Morita Title: Managing Executive Officer, Global Head of Equity Finance Group | 11/10/22 |
| JGC HOLDINGS CORPORATION /s/ Tadashi Ishizuka Name: Tadashi Ishizuka Title: Representative Director, President and Chief Operating Officer | 11/10/22 |
| JGC AMERICA, INC. /s/ Christopher Kentaro Jones Name: Christopher Kentaro Jones Title: President, Director | 11/10/22 |
| IHI CORPORATION /s/ Hiroyuki Ogata Name: Hiroyuki Ogata Title: General Manager of Nuclear Energy Business Unit | 11/10/22 |
| IHI AMERICAS INC. /s/ Toshimichi Anzai Name: Toshimichi Anzai Title: President and Chief Executive Officer | 11/10/22 |
| ** 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. |
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