Keyvan Samini - May 30, 2025 Form 4 Insider Report for MOBIX LABS, INC (MOBX)

Role
President, CFO & Director, Director
Signature
/s/ Terri Aprati, Attorney-in-Fact
Stock symbol
MOBX
Transactions as of
May 30, 2025
Transactions value $
$0
Form type
4
Date filed
8/13/2025, 08:41 PM
Previous filing
May 7, 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
SAMINI KEYVAN President, CFO & Director, Director C/O MOBIX LABS, INC., 1 VENTURE, SUITE 220, IRVINE /s/ Terri Aprati, Attorney-in-Fact 2025-08-13 0002004846

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding MOBX Class A Common Stock 2.87M May 30, 2025 Direct
holding MOBX Class A Common Stock 73.5K May 30, 2025 By KSLI Trust F1
holding MOBX Class A Common Stock 171K May 30, 2025 By KSSF Trust F1
holding MOBX Class A Common Stock 73.5K May 30, 2025 By SSLI Trust F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction MOBX Class B Common Stock Award $0 +915K $0.00 915K May 30, 2025 Class A Common Stock 915K Direct F5, F6
holding MOBX Option (Right to Buy) 324K May 30, 2025 Class A Common Stock 324K $0.17 Direct F2
holding MOBX Restricted Stock Units 333K May 30, 2025 Class A Common Stock 333K Direct F3, F4
holding MOBX Class B Common Stock 125K May 30, 2025 Class A Common Stock 125K By KSSF Trust F1, F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The Reporting Person is a trustee of this trust. The Reporting Person disclaims beneficial ownership of the securities held by this trust except to the extent of his respective pecuniary interest therein.
F2 These options are fully vested and exercisable.
F3 The Restricted Stock Units ("RSUs") convert to Class A Common Stock on a one-for-one basis.
F4 These RSUs will vest on December 21, 2025.
F5 The shares of Class B Common Stock are convertible into shares of Class A Common Stock at the option of the Reporting Person and will be automatically converted upon (i) a transfer by the Reporting Person (other than a permitted transfer) or (ii) the first trading day after the seventh anniversary date of the Closing Date (December 21, 2023).
F6 The Class B restricted stock awards (the "RSAs") were granted to the Reporting Person on May 30, 2025, and will vest over five years as follows: (i) 10% of the RSAs will vest on the first anniversary of the grant date (May 30, 2026) and (ii) the remaining 90% will vest in equal quarterly installments over the remaining 48 months.