Form 4 for AIP Arteris, Inc.

Accepted 2021-11-02 00:00:00 ET · period of report 2021-10-29 · accession 0001567619-21-019220 · SEC index · Original document

Summary rows

Aggregated the way they appear in lists: one row per insider, transaction code and security table.

X	Filed	Traded	Ticker	Insider	Title	Type	Price	Qty	Owned	ΔOwn	Value
DI	2021-11-02	2021-10-29	AIP	Arteris IP, LLC	10%	C - Cnv Deriv	—	+335.9K	10.34M	+3%	—
D	2021-11-02	2021-10-29	AIP	Arteris IP, LLC	10%	C - Cnv Deriv	$0.00	-335.9K	335.9K	-50%	$0

Purchase Sale Sale after option exercise All abbreviations

#	Table	Security	Date	Code	A/D	Shares	Price	Owned after	Own	Exercise / expiry	Underlying	Footnotes
1	Common	Common Stock	2021-10-29	C	A	335,891	—	10,335,891	I See Footnote	—	—	(F1) The Issuer's Preferred Stock will automatically convert into shares of the Issuer's Common Stock on a 1 to 1 basis for no additional consideration upon the closing of the Issuer's initial public offering. The shares have no expiration date. (F2) K. Charles Janac is the manager of Arteris IP, LLC and as such is deemed to have voting and dispositive power over the shares beneficially owned by Arteris IP, LLC.
2	Derivative	Series A Preferred Stock	2021-10-29	C	D	335,891	$0.00	335,891	D	— · — to —	335,891 Common Stock	(F2) K. Charles Janac is the manager of Arteris IP, LLC and as such is deemed to have voting and dispositive power over the shares beneficially owned by Arteris IP, LLC. (F1) The Issuer's Preferred Stock will automatically convert into shares of the Issuer's Common Stock on a 1 to 1 basis for no additional consideration upon the closing of the Issuer's initial public offering. The shares have no expiration date.