SEC FORM 3 SEC Form 3
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*
Kopke Michael

(Last) (First) (Middle)
8045 LAMON AVE
SUITE 400

(Street)
SKOKIE IL 60077

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/02/2023
3. Issuer Name and Ticker or Trading Symbol
LanzaTech Global, Inc. [ LNZA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Innovation Officer
5. 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
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)
Common Stock 30,208 D
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)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units (1) (1) Common Stock 110,000 (1) D
Stock Options (2) 05/06/2025 Common Stock 2,187 1.52 D
Stock Options (2) 10/13/2026 Common Stock 19,686 1.38 D
Stock Options (2) 09/20/2027 Common Stock 174,987 1.38 D
Stock Options (3) 06/26/2030 Common Stock 174,987 1.07 D
Stock Options (2) 11/09/2030 Common Stock 21,965 1.07 D
Stock Options (4) 05/02/2033 Common Stock 114,503 3.28 D
Explanation of Responses:
1. Each Restricted Stock Unit (RSU) represents a contingent right to receive one share of common stock of LanzaTech Global, Inc. (the "Company"). Subject to the terms of the RSU Agreement, the RSUs will vest in approximately three equal annual installments, with such first installment vesting on March 6, 2024.
2. Options are fully vested and exercisable
3. 60% of the options are vested and exercisable, 20% vests on each of January 1, 2024 and January 1, 2025.
4. Subject to the terms of the Stock Option Agreement, the shares subject to the stock option will vest and become exercisable in approximately three equal annual installments, with such first installment vesting on March 6, 2024.
Remarks:
Exhibit 24.1 - Power of Attorney
/s/ Joseph Blasko, as Attorney-in-Fact 07/12/2023
** 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.
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