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AVELLAN ABEL ANTONIO
Date Filed :
Nov 20, 2024
View Exhibits
SEC FORM 4
SEC Form 4
FORM 4
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response:
0.5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person
*
Avellan Abel Antonio
(Last)
(First)
(Middle)
C/O AST SPACEMOBILE, INC., MIDLAND INTL.
AIR & SPACE PORT, 2901 ENTERPRISE LANE
(Street)
MIDLAND
TX
79706
(City)
(State)
(Zip)
2. Issuer Name
and
Ticker or Trading Symbol
AST SpaceMobile, Inc.
[
ASTS
]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X
Director
X
10% Owner
X
Officer (give title below)
Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
11/20/2024
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)
2. Transaction Date (Month/Day/Year)
2A. Deemed Execution Date, if any (Month/Day/Year)
3. Transaction Code (Instr. 8)
4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code
V
Amount
(A) or (D)
Price
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)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4)
11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code
V
(A)
(D)
Date Exercisable
Expiration Date
Title
Amount or Number of Shares
Forward contract (obligation to sell)
(1)
(2)
(3)
(4)
(5)
11/20/2024
J
/K
2,500,000
(1)
(2)
(3)
(4)
(5)
(1)
(2)
(3)
(4)
(5)
Class A Common Stock
2,500,000
(1)
(2)
(3)
(4)
(5)
2,500,000
I
See Footnote
(6)
Explanation of Responses:
1. On November 20, 2024, AA Gables, LLC ("AA Gables") entered into a master confirmation, supplemental confirmation and pricing notice under Rule 144under the Securities Act of 1933, as amended, in respect of a variable prepaid forward transaction (the "Forward Contract") with an unaffiliated dealer coveringup to a maximum of 2,500,000 shares of the Issuer's Class A Common Stock (the "Subject Shares"). The Forward Contract obligates AA Gables to deliver to thedealer up to the Subject Shares (or at AA Gable's election, an equivalent amount of cash) on specified dates in January of 2026. The transaction is divided intofour components, each comprising up to 625,000 shares of Class A Common Stock (the "Component Shares").
2. (Continued from Footnote 1) The number of Component Shares (or the equivalent amount of cash if AA Gables elects cash settlement), to be delivered to the dealer on the related settlement date will be based on the volume-weighted average price per share of Class A Common Stock on the related valuation date (the "Settlement Price").
3. The number of shares of Class A Common Stock (or, in each case, the equivalent amount of cash if AA Gables elects cash settlement), to be delivered to thedealer at settlement will be determined as follows: (A) if the Settlement Price is less than or equal to $18.24 (the "Floor Price"), AA Gables will deliver theComponent Shares; (B) if the Settlement Price is less than or equal to $34.20 (the "Cap Price"), but greater than the Floor Price, AA Gables will deliver anumber of shares of Class A Common Stock equal to (i) the Component Shares, multiplied by a fraction, the numerator of which is the Floor Price and thedenominator of which is the Settlement Price; and
4. (Continued from Footnote 3) (C) if the Settlement Price is greater than the Cap Price, AA Gables will deliver a number of shares of Class A Common Stock equal to (i) the Component Shares, multiplied by (ii) a fraction, the numerator of which is the sum of (x) the Floor Price and (y) the Settlement Price minus the Cap Price, and the denominator of which is the Settlement Price.
5. In exchange for assuming these obligations, AA Gables received an upfront aggregate cash payment of approximately $42.0 million. AA Gables has pledged 2,500,000common units of AST & Science, LLC (the "Pledged Securities") to secure its obligations under the Forward Contract. AA Gables will retain voting rights in thePledged Securities during the term of the Forward Contract.
6. Mr. Avellan is the sole member and managing member of AA Gables.
/s/ Abel Avellan
11/20/2024
** 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 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).
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.
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