FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN 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
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(Print or Type Responses)
1. Name and Address of Reporting Person *
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Tough John J. |
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2. Issuer Name and Ticker or Trading Symbol Volta Inc. [VLTA]
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5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__X__ Director
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_____ 10% Owner
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_____ Officer (give title below)
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_____ Other (specify below)
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C/O VOLTA INC., 155 DE HARO STREET |
3. Date of Earliest Transaction (Month/Day/Year) 07/30/2022 |
SAN FRANCISCO, CA 94103 |
4. If Amendment, Date Original Filed
(Month/Day/Year)
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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. Transaction Date (Month/Day/Year)
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2A. Deemed Execution Date, if any (Month/Day/Year)
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3. Transaction 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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Class A Common Stock | 07/30/2022 |
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| 92,206 (1) | A |
$
0
| 116,130 | D |
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Class A Common Stock |
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| 1,644,107 | I | By Energize Growth Fund I LP (2) |
Class A Common Stock |
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| 8,414,566 | I | By Energize Ventures Fund LP (3) |
Class A Common Stock |
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| 1,848,507 | I | By EV Volta SPV LLC (4) |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
| 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 control number. | SEC 1474 (9-02) |
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)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date (Month/Day/Year)
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3A. Deemed Execution Date, if any (Month/Day/Year)
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4. Transaction Code (Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5)
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6. Date Exercisable and Expiration Date (Month/Day/Year)
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7. Title and Amount of Underlying Securities (Instr. 3 and 4)
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8. Price of Derivative Security (Instr. 5)
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9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Reporting Owners
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Tough John J. C/O VOLTA INC. 155 DE HARO STREET SAN FRANCISCO, CA 94103 |
X
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Signatures
/s/ Francois P. Chadwick, as Attorney-in-Fact | |
08/02/2022 |
**Signature of Reporting Person | Date |
Explanation of Responses:
* | 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). |
(1) | Represents shares of Class A Common Stock underlying a restricted stock unit award ("RSU") granted under the Issuer's 2021 Equity Incentive Plan in connection with annual awards to directors for service as a member of the Issuer's Board of Directors. The RSU will vest in full on the earlier of (i) July 30, 2023, and (ii) the date of the Issuer's next annual shareholder's meeting, subject to the Reporting Person's continued service as a member of the Board of Directors through such vesting date. |
(2) | Energize Growth I GP LLC ("Growth GP") is the general partner of EGF. The Reporting Person is the Managing Partner of Growth GP and has sole voting and investment power over the shares held by EGF. As such, the Reporting Person may be deemed to be the beneficial owner of such shares and disclaims any beneficial ownership of such shares. |
(3) | The Reporting Person is the Managing Partner of Energize Ventures Fund LP ("EVF") and has sole voting and investment power over the shares held by EVF. As such, the Reporting Person may be deemed to be the beneficial owner of such shares and disclaims any beneficial ownership of such shares. |
(4) | Energize Ventures GP LLC ("Ventures GP") is the manager of EV Volta SPV LLC ("Volta SPV"). The Reporting Person is the Managing Partner of Ventures GP and has sole voting and investment power over the shares held by Volta SPV. As such, the Reporting Person may be deemed to be the beneficial owner of such shares and disclaims any beneficial ownership of such shares. |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Potential persons who are to 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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