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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT 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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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) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (Right to Buy) | $ 0.67 | 08/24/2021 | M(1) | 63,512 | (2) | 05/31/2027 | Common Stock | 63,512 | $ 0 | 10,792 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Lindsay Casey Penn C/O MISTER CAR WASH, INC. 222 E 5TH STREET TUCSON, AZ 85705 |
See Remarks |
/s/ Lisa Funk, as Attorney-in-Fact for Casey Lindsay | 06/23/2022 | |
**Signature of Reporting Person | Date |
* | 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) | On August 26, 2021, the Reporting Person filed a Form 4 which inadvertently misidentified the tranche of options that was exercised on August 24, 2021. The tranche of options that was actually exercised on August 24, 2021 has an exercise price of $0.67 per share and an expiration date of May 31, 2027, as reported in this amendment. Due to the foregoing error in the Form 4 filed on August 26, 2021, the Form 4s filed by the Reporting Person on December 27, 2021, January 3, 2022, January 27, 2022 and February 3, 2022, respectively, to report subsequent exercises of the tranche of options with an exercise price of $0.66 per share and an expiration date of September 2, 2024 reported incorrect remaining balances in Table II, Column 9. Those incorrect balances were ultimately corrected in the Form 4 filed by the Reporting Person on March 22, 2022. |
(2) | The option is fully vested and exercisable. |
Remarks: Vice President, Corporate Development |