Keyvan Samini - May 5, 2025 Form 4/A - Amendment 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 5, 2025
Transactions value $
$0
Form type
4/A - Amendment
Date filed
10/15/2025, 04:47 PM
Date Of Original Report
Aug 13, 2025
Previous filing
Apr 17, 2025
Next filing
Aug 13, 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 2025-10-15 0002004846

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding MOBX Class A Common Stock 2.55M May 5, 2025 Direct 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
holding MOBX Class B Common Stock 125K May 5, 2025 Class A Common Stock 125K By KSSF Trust F2, F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On August 13, 2025, the Reporting Person filed a Form 4 which incorrectly recorded the number of shares held directly due to an administrative error. This amendment reflects the correct amount of shares held as of such date.
F2 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).
F3 The number of shares of Class B Common Stock beneficially owned by the Reporting Person has been reduced to remove the Class B Common Stock underlying the Restricted Stock Awards granted on May 30, 2025.
F4 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.