Securities Registration: Employee Benefit Plan (s-8)
26 Abril 2023 - 4:20PM
Edgar (US Regulatory)
As filed with the Securities and Exchange Commission
on April 26, 2023
Registration No. 333-
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM
S-8
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933
FORZA
X1, INC.
(Exact name of registrant as specified in
its charter)
Delaware |
|
87-3159685 |
(State or other jurisdiction
of
incorporation or organization) |
|
(I.R.S.
Employer
Identification
Number) |
3101 S. US-1
Ft. Pierce, Florida 34982
(772) 429-2525
(Address, including ZIP code, and telephone number,
including
area code, of registrant’s principal executive
office)
FORZA X1, INC. 2022 STOCK INCENTIVE PLAN
(Full title of the Plan)
Jim Leffew
President and Chief Executive Officer
Forza X1, Inc.
3101 S. US-1
Ft. Pierce, Florida 34982
(772) 429-2525
(Name, address of and telephone number, including
area code, of agent for service)
Copies
to:
Leslie
Marlow, Esq.
Hank Gracin, Esq.
Patrick J. Egan, Esq.
Blank Rome LLP
1271
Avenue of the Americas
New
York, New York 10020
(212)
885-5000
(Name,
address and telephone number)
Indicate by check mark whether the registrant is a
large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See
the definitions of “large accelerated filer,” “accelerated filer” “smaller reporting company” and
“emerging growth company” in Rule 12b-2 of the Exchange Act:
Large
accelerated filer ☐ |
Accelerated
filer ☐ |
Non-accelerated
filer ☒ |
Smaller
reporting company ☒ |
|
Emerging
growth company ☒ |
If an emerging growth company, indicate by check mark
if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards
provided pursuant to Section 13(a) of the Exchange Act. ☒
EXPLANATORY NOTE
Pursuant to General Instruction
E of Form S-8, Forza X1, Inc. (the “Registrant” or the “Company”), is filing this Registration Statement on Form
S-8 (the “Registration Statement”) for the purpose of registering an additional 470,250 shares of the Registrant’s common
stock, par value $0.001 per share (the “Common Stock”), that may be issued pursuant to the Registrant’s 2022 Stock Incentive
Plan (the “Plan”) pursuant to an “evergreen” provision contained therein, as follows: 470,250 shares of Common
Stock, which equals 4.5% of the total number of shares of Common Stock outstanding on December 31, 2022, were automatically added to the
shares authorized for issuance under the Plan on January 1, 2023. These additional shares of Common Stock are securities of the same class
as other securities for which the registration statement on Form S-8 has been previously filed with the Securities and Exchange Commission
(the “Commission”), which is described below. As disclosed above, these additional shares of Common Stock have become
reserved for issuance as a result of the operation of the “evergreen” provision in the Plan, which provides that the total
number of shares subject to such plans will be increased each year on January 1; provided, however that the Registrant’s Board of
Directors may act prior to January 1 of a given calendar year to provide that the increase for such year will be a lesser number of shares
of Common Stock.
The Registrant’s Form
S-8 Registration Statement filed with the Commission on August 12, 2022 (File No. 333-266811), which relates to the Plan, is incorporated
herein by reference and made a part hereof.
PART I
INFORMATION REQUIRED IN THE SECTION 10(a) PROSPECTUS
In accordance with the instructional
note to Part I of Form S-8 as promulgated by the Commission, the information specified by Part I of Form S-8 has been omitted
from this Registration Statement. The documents containing the information specified in Part 1 will be delivered to the participants in
the Plan covered by this Registration Statement as required by Rule 428(b)(1) under the Securities Act of 1933, as amended.
PART II
INFORMATION REQUIRED IN THE REGISTRATION STATEMENT
Item 3. Incorporation of Documents by Reference.
The following documents previously
filed by the Registrant with the Commission are incorporated by reference into this Registration Statement:
|
● |
the Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2022 (Commission File No. 001-41469) filed with the Commission on March 28, 2023; |
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● |
the Registrant’s Current Reports on Form 8-K filed with the SEC on January 17, 2023 (other than as indicated therein) and February 8, 2023; |
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● |
The description of the Registrant’s Common Stock set forth in: (i) the Registrant’s registration statement on Form 8-A (Commission File No. 001-41469) filed with the SEC on August 8, 2022, including any amendments thereto or reports filed for the purposes of updating this description, and (ii) Exhibit 4.3 to the Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2022 (Commission File No. 001-41469) filed with the Commission on March 28, 2023; and |
|
● |
All other reports and documents subsequently filed by the Registrant pursuant to Sections 13(a), 13(c), 14 and 15(d) of the Exchange Act (other than Current Reports furnished under Item 2.02 or Item 7.01 of Form 8-K and exhibits furnished on such form that relate to such items) on or after the date of this Registration Statement and prior to the filing of a post-effective amendment to this Registration Statement which indicates that all securities offered have been sold or which deregisters all securities then remaining unsold, shall be deemed to be incorporated by reference herein and to be a part of this Registration Statement from the date of the filing of such reports and documents. Any statement contained in a document incorporated or deemed to be incorporated by reference herein shall be deemed to be modified or superseded for purposes of this Registration Statement to the extent that a statement contained herein or in any subsequently filed document that also is deemed to be incorporated by reference herein modifies or supersedes such statement. Any such statement so modified or superseded shall not be deemed, except as so modified or superseded, to constitute a part of this Registration Statement. |
Any statement contained herein
or in a document, all or a portion of which is incorporated or deemed to be incorporated by reference herein, shall be deemed to be modified
or superseded for purposes of this Registration Statement to the extent that a statement contained herein or in any other subsequently
filed document that also is or is deemed to be incorporated by reference herein modifies or supersedes such statement. Any such statement
so modified or superseded shall not be deemed, except as so modified or superseded, to constitute a part of this Registration Statement.
Item 5. Interests of Named Experts and Counsel.
Not applicable.
Item 8. Exhibits.
* Filed herewith.
SIGNATURES
Pursuant to the requirements of
the Securities Act of 1933, the Registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for
filing on Form S-8 and has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized,
in Ft. Pierce, Florida, on the 26th day of April, 2023.
|
FORZA X1,
INC. |
|
|
|
By: |
/s/
Jim Leffew |
|
Name: |
Jim Leffew |
|
Title: |
President and Chief Executive
Officer |
POWER OF ATTORNEY
KNOW ALL
PERSONS BY THESE PRESENTS, that the undersigned directors and officers of the Registrant, which is filing a Registration Statement on
Form S-8 with the Securities and Exchange Commission under the provisions of the Securities Act of 1933, as amended, hereby
constitute and appoint Joseph C. Visconti and Jim Leffew, and each of them, any of whom may act without joinder of the other, the individual’s
true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for the person and in his
or her name, place and stead, in any and all capacities, to sign this Registration Statement and any or all amendments or supplements
to this Registration Statement, including post-effective amendments, and to file the same, with all exhibits thereto, and other documents
in connection therewith with the Securities and Exchange Commission, and does hereby grant unto said attorneys-in-fact and agents,
and each of them, full power and authority to do and perform each and every act and thing requisite and necessary to be done in and about
the premises, as fully to all intents and purposes as he or she might or could do in person, hereby ratifying and confirming all that
said attorneys-in-fact and agents or any of them, or their substitute or substitutes, may lawfully do or cause to be done by
virtue hereof.
Pursuant to the requirements of the Securities Act of
1933, this registration statement has been signed below by the following persons in the capacities and on the date indicated.
Signature |
|
Title |
|
Date |
/s/ Joseph C. Visconti |
|
Executive Chairman of the Board and Chief of Product Development |
|
April 26, 2023 |
Joseph C. Visconti |
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/s/ Jim Leffew |
|
Chief Executive Officer and President (Principal Executive Officer) |
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April 26, 2023 |
Jim Leffew |
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/s/ Carrie Gunnerson |
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Interim Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer) |
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April 26, 2023 |
Carrie Gunnerson |
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/s/ Marcia Kull |
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Director |
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April 26, 2023 |
Marcia Kull |
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/s/ Neil Ross |
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Director |
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April 26, 2023 |
Neil Ross |
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/s/ Kevin Schuyler |
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Director |
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April 26, 2023 |
Kevin Schuyler |
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Forza X1 (NASDAQ:FRZA)
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