SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 02/17/2021 | 3. Issuer Name and Ticker or Trading Symbol Quantum Computing Inc. [ QUBT ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
---|---|---|---|
1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock, par value $0.0001 | 100,000(1) | I | See Footnote(1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Options to purchase shares of Common Stock | (2) | (2) | Common Stock | 100,000 | (2) | D |
Explanation of Responses: |
1. On August 27, 2020, the reporting person, through Fagenson Fixed Income Partners, LLC, for which the reporting person serves as managing member, subscribed for and purchased from the Issuer 100,000 shares of the Issuer's common stock at a purchase price of $1.00 per share (prior to joining the Company as a director on February 17, 2021). |
2. Pursuant to the terms of the non-qualified stock option agreement, entered into by and between Mr. Fagenson and the Issuer, and dated March 1, 2021 (the "Effective Date"), Mr. Fagenson was granted non-qualified stock options to purchase up to an aggregate of 100,000 shares of the Company's common stock, par value $0.0001 per share, at an exercise price of $8.85 per share (the "Stock Options"). The Stock Options shall vest as follows: 33,333 (or 1/3) of the Stock Options shall vest on the first anniversary of the Effective Date, 33,333 (or 2/3) shall vest on the second anniversary of the Effective Date, and the remainder of the Stock Options shall vest on the third anniversary of the Effective Date. In lieu of fractional vesting, the number of Stock Options will be rounded up each time until fractional Stock Options are eliminated. |
/s/ Robert Fagenson | 11/10/2021 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |