| 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 | 07 May 2025 | 0002004846 |
| 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 | 05 May 2025 | Direct | F1, F2 | |
| holding | MOBX | Class A Common Stock | 73.5K | 05 May 2025 | By KSLI Trust | F3 | |||||
| holding | MOBX | Class A Common Stock | 171K | 05 May 2025 | By KSSF Trust | F3 | |||||
| holding | MOBX | Class A Common Stock | 73.5K | 05 May 2025 | By SSLI Trust | F3 |
| 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 | 05 May 2025 | Class A Common Stock | 324K | $0.17 | Direct | F4, F5 | |||||
| holding | MOBX | Restricted Stock Units | 333K | 05 May 2025 | Class A Common Stock | 333K | Direct | F6, F7 | ||||||
| holding | MOBX | Class B Common Stock | 125K | 05 May 2025 | Class A Common Stock | 125K | Direct | F8 |
| 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). |