Sec Form 3 Filing - Chang Raymond Nobu @ Agrify Corp - 2021-01-27

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Chang Raymond Nobu
2. Issuer Name and Ticker or Trading Symbol
Agrify Corp [ AGFY]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
CEO & Chairman of the BOD
(Last) (First) (Middle)
101 MIDDLESEX TURNPIKE, SUITE 6, PMB 326
3. Date of Earliest Transaction (MM/DD/YY)
01/27/2021
(Street)
BURLINGTON, MA01803
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 471,727 I By RTC3 2020 Irrevocable Family Trust ( 1 )
Common Stock 129,548 I By NXT3J Capital, LLC ( 2 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Options $ 2.28 ( 3 ) 05/06/2030 Common Stock 337,715 D
Options $ 2.28 ( 4 ) 07/20/2030 Common Stock 14,267 D
Options $ 4.86 ( 5 ) 10/19/2030 Common Stock 264,823 D
Warrants $ 0.02 09/18/2020 09/18/2025 Common Stock 126,438 I By RTC3 2020 Irrevocable Family Trust
Options $ 2.28 ( 6 ) 05/06/2030 Common Stock 21,712 I By Raymond Chang, Jr. ( 6 )
Options $ 4.86 ( 7 ) 10/19/2030 Common Stock 18,878 I By Raymond Chang, Jr. ( 7 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Chang Raymond Nobu
101 MIDDLESEX TURNPIKE, SUITE 6, PMB 326
BURLINGTON, MA01803
X X CEO & Chairman of the BOD
Signatures
/s/ Raymond Chang 01/27/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Includes 129,548 shares of common stock issuable upon the automatic conversion of a convertible promissory note immediately prior to the consummation of an initial public offering held by RTC3 2020 Irrevocable Family Trust, of which Mr. Chang retains the authority to remove the independent trustee, and may be deemed to be indirectly beneficially owned by Mr. Chang. Mr. Chang disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that such person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
( 2 )Represents shares of common stock issuable upon the automatic conversion of a convertible promissory note immediately prior to the consummation of an initial public offering held by NXT3J Capital, LLC, an entity controlled by Mr. Chang, and may be deemed to be indirectly beneficially owned by Mr. Chang. Mr. Chang disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that such person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
( 3 )90,719 of the options were fully vested on the grant date and the remaining stock options vest monthly over 24 to 48 months, and 153,223 shares are subject to accelerated vesting in the event of a change of control transaction or initial public offering.
( 4 )25% of the options will vest on 7/20/21 and the balance vests in 36 equal monthly installments thereafter. This option grant provides for accelerated vesting in the event of a change of control transaction or an initial public offering under which 50% of such options (assuming none have previously vested) will vest immediately prior to such event.
( 5 )25% of the options will vest on 10/19/21 and the balance vests in 36 equal monthly installments thereafter. This option grant provides for accelerated vesting in the event of a change of control transaction or an initial public offering under which 50% of such options (assuming none have previously vested) will vest immediately prior to such event.
( 6 )Represents securities held by Raymond Chang, Jr., Mr. Chang's son. 8,444 of the options were fully vested on the grant date and the remaining stock options vest monthly over 24 to 48 months, and 9,918 shares are subject to accelerated vesting in the event of a change of control transaction or initial public offering.
( 7 )Represents securities held by Raymond Chang, Jr., Mr. Chang's son. 25% of the options will vest on 10/19/21 and the balance vests in 36 equal monthly installments thereafter. This option grant provides for accelerated vesting in the event of a change of control transaction or an initial public offering under which 50% of such options (assuming none have previously vested) will vest immediately prior to such event.

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