SEC Form 3 filed by new insider White Deanna Leigh
$SRFM
Transportation Services
Consumer Discretionary
| 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 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 05/15/2024 |
3. Issuer Name and Ticker or Trading Symbol
SURF AIR MOBILITY INC. [ SRFM ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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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)
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| Table I - Non-Derivative Securities Beneficially Owned | |||
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| 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) | |||||||
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| 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) | ||
| Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
| Stock Option (right to buy) | (1) | 03/01/2032 | Common Stock | 293,476 | $0.53 | D | |
| Stock Option (right to buy) | (2) | 11/12/2032 | Common Stock | 293,476 | $5.73 | D | |
| Stock Option (right to buy) | (3) | 04/03/2034 | Common Stock | 275,000 | $0.88 | D | |
| Stock Option (right to buy) | (4) | 04/03/2034 | Common Stock | 275,000 | $0.88 | D | |
| Stock Option (right to buy) | (5) | 04/03/2034 | Common Stock | 275,000 | $0.88 | D | |
| Stock Option (right to buy) | (6) | 04/03/2034 | Common Stock | 275,000 | $0.88 | D | |
| Explanation of Responses: |
| 1. This option is fully vested and exercisable. |
| 2. This option represents the right to purchase 293,476 shares of the Issuer's common stock, which vests in 36 monthly installments commencing on February 1, 2022, and ending on January 1, 2025, subject to the Reporting Person's continued service to the Issuer on such vesting date. |
| 3. This option represents the right to purchase 275,000 shares of the Issuer's common stock, which vested immediately upon grant. |
| 4. This option represents the right to purchase 275,000 shares of the Issuer's common stock, which vests on the date that is the earlier of (x) the first anniversary of the grant date and (y) the last trading day where the sale price of the Issuer's common stock equals or exceeds $3.00 per share (as adjusted for stock splits, stock dividends, reorganizations, recapitalizations and the like) for any 20 trading days within any 30-trading day period following the grant date, subject to the Reporting Person's continued service to the Issuer on such vesting date. |
| 5. This option represents the right to purchase 275,000 shares of the Issuer's common stock, which vests on the date that is the earlier of (x) the first anniversary of the grant date and (y) the last trading day where the sale price of the Issuer's common stock equals or exceeds $5.00 per share (as adjusted for stock splits, stock dividends, reorganizations, recapitalizations and the like) for any 20 trading days within any 30-trading day period following the grant date, subject to the Reporting Person's continued service to the Issuer on such vesting date. |
| 6. This option represents the right to purchase 275,000 shares of the Issuer's common stock, which vests on the date that is the earlier of (x) the first anniversary of the grant date and (y) the last trading day where the sale price of the Issuer's common stock equals or exceeds $7.00 per share (as adjusted for stock splits, stock dividends, reorganizations, recapitalizations and the like) for any 20 trading days within any 30-trading day period following the grant date, subject to the Reporting Person's continued service to the Issuer on such vesting date. |
| Remarks: |
| Exhibit 24 - Power of Attorney Chief Operating Officer and Interim Chief Executive Officer |
| /s/ David Anderman, as attorney-in-fact for Deanna Leigh White | 05/16/2024 | |
| ** 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. | ||