Keyvan Samini - May 5, 2025 Form 4 Insider Report for MOBIX LABS, INC (MOBX)

Signature
/s/ Terri Aprati, Attorney-in-Fact
Stock symbol
MOBX
Transactions as of
May 5, 2025
Transactions value $
$0
Form type
4
Date filed
5/7/2025, 09:16 PM
Previous filing
Apr 17, 2025
Next filing
Aug 13, 2025

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
SAMINI KEYVAN President, CFO & Director, Director C/O MOBIX LABS, INC., 15420 LAGUNA CANYON RD., SUITE 100, IRVINE /s/ Terri Aprati, Attorney-in-Fact 2025-05-07 0002004846

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction MOBX Class A Common Stock Award $0 +2.55M $0.00 2.55M May 5, 2025 Direct F1, F2
holding MOBX Class A Common Stock 73.5K May 5, 2025 By KSLI Trust F3
holding MOBX Class A Common Stock 171K May 5, 2025 By KSSF Trust F3
holding MOBX Class A Common Stock 73.5K May 5, 2025 By SSLI Trust F3

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 Option (Right to Buy) 324K May 5, 2025 Class A Common Stock 324K $0.17 Direct F4, F5
holding MOBX Restricted Stock Units 333K May 5, 2025 Class A Common Stock 333K Direct F6, F7
holding MOBX Class B Common Stock 125K May 5, 2025 Class A Common Stock 125K Direct F8
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 These Restricted Stock Awards ("RSAs") were granted to the Reporting Person on May 5, 2025 and will vest over a two year period and can be accelerated if certain stock price thresholds are met.
F2 This amount reflects the correct number of shares directly held by the Reporting Person and corrects an error filed in the previous Form 4 filed on April 17, 2025, in which 323,529 shares were inadvertently reported on Table I and should have only been reflected as options in Table II.
F3 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.
F4 These options are fully vested and exercisable.
F5 This amount reflects the correct number of options held by the Reporting Person and corrects an administrative error filed in the previous Form 4 filed on April 17, 2025.
F6 The Restricted Stock Units ("RSUs") convert to Class A Common Stock on a one-for-one basis.
F7 These RSUs will vest on December 21, 2025.
F8 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).