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Ownership Document
|
| Schema Version: X0508 |
| Document Type: 4 |
| Period of Report: 3/19/24 |
| Not Subject to Section 16: 0 |
| Issuer: |
| Issuer CIK: 1899287 |
| Issuer Name: Amprius Technologies, Inc. |
| Issuer Trading Symbol: AMPX |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1698362 |
| | Owner Name: Wallach Sandra |
| Reporting Owner Address: |
| | Owner Street 1: C/O AMPRIUS TECHNOLOGIES, INC., |
| | Owner Street 2: 1180 PAGE AVENUE |
| | Owner City: FREMONT |
| | Owner State: CA |
| | Owner ZIP Code: 94538 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? No |
| | Is Officer? Yes |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: Chief Financial Officer |
| Aff 10b5 One: 0 |
| Non-Derivative Table: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Common stock |
| | Transaction Date: |
| | | Value: 3/19/24 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 749,700 |
| Footnote ID: F1 |
| | | Transaction Price Per Share: |
| Value: 0 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 749,700 |
| Footnote ID: F2 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Table: |
| Footnotes: |
| Footnote - F1: The securities are represented by restricted stock units. Each restricted stock unit represents the reporting person's right to receive one share of the issuer's common stock. 1/16th of shares subject to award will vest on May 20, 2024 and quarterly thereafter on each August 20, November 20, February 20 and May 20, subject to the reporting person's continued service on each such date, until the award is fully vested on February 20, 2028. |
| Footnote - F2: Includes 749,700 restricted stock units, each of which represents a contingent right to receive one share of the issuer's common stock, subject to the applicable vesting schedule and conditions of each restricted stock unit. |
| Remarks: |
| Owner Signature: |
| Signature Name: /s/ Sandra Wallach |
| Signature Date: 3/19/24 |
