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
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1. Name and Address of Reporting Person*
Hebert Peter

(Last) (First) (Middle)
920 BROADWAY, 11TH FLOOR

(Street)
NEW YORK NY 10010

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/12/2021
3. Issuer Name and Ticker or Trading Symbol
Aeva Technologies, Inc. [ AEVA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
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)
Class A Common Stock 29,384,634 I See footnote(1)
Class A Common Stock 1,959,371 I See footnote(2)
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
1. Name and Address of Reporting Person*
Hebert Peter

(Last) (First) (Middle)
920 BROADWAY, 11TH FLOOR

(Street)
NEW YORK NY 10010

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Wolfe Josh

(Last) (First) (Middle)
920 BROADWAY, 11TH FLOOR

(Street)
NEW YORK NY 10010

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Lux Ventures IV, L.P.

(Last) (First) (Middle)
920 BROADWAY, 11TH FLOOR

(Street)
NEW YORK NY 10010

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Lux Co-Invest Opportunities, L.P.

(Last) (First) (Middle)
920 BROADWAY, 11TH FLOOR

(Street)
NEW YORK NY 10010

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Lux Venture Partners IV, LLC

(Last) (First) (Middle)
920 BROADWAY, 11TH FLOOR

(Street)
NEW YORK NY 10010

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Lux Co-Invest Partners, LLC

(Last) (First) (Middle)
920 BROADWAY, 11TH FLOOR

(Street)
NEW YORK NY 10010

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. These shares are owned directly by Lux Ventures IV, L.P. Lux Venture Partners IV, LLC is the general partner of Lux Ventures IV, L.P. and exercises voting and dispositive power over the shares noted herein held by Lux Ventures IV, L.P. Peter Hebert and Josh Wolfe are the individual managing members of Lux Venture Partners IV, LLC (the "Individual Lux Managers"). The Individual Lux Managers, as the sole managers of Lux Venture Partners IV, LLC, may be deemed to share voting and dispositive power for the shares noted herein held by Lux Ventures IV, L.P.. Each of Lux Venture Partners IV, LLC and the Individual Lux Managers separately disclaim beneficial ownership over the shares noted herein except to the extent of their pecuniary interest therein.
2. These shares are owned directly by Lux Co-Invest Opportunities, L.P. Lux Co-Invest Partners, LLC is the general partner of Lux Co-Invest Opportunities, L.P. and exercises voting and dispositive power over the shares noted herein held by Lux Co-Invest Opportunities, L.P. The Individual Lux Managers are the individual managing members of Lux Venture Partners IV, LLC. The Individual Lux Managers, as the sole managers of Lux Co-Invest Partners, LLC, may be deemed to share voting and dispositive power for the shares noted herein held by Lux Co-Invest Opportunities, L.P. Each of Lux Co-Invest Partners, LLC and the Individual Lux Managers separately disclaim beneficial ownership over the shares noted herein except to the extent of their pecuniary interest.
Remarks:
Exhibit List Exhibit 24.1 - Power of Attorney Exhibit 24.2 - Power of Attorney
/s/ Segolene Scarborough, Segolene Scarborough, Attorney-in-Fact for Peter Hebert 03/19/2021
/s/ Segolene Scarborough, Segolene Scarborough, Attorney-in-Fact for Josh Wolfe 03/19/2021
LUX VENTURE PARTNERS IV, LLC, /s/ Segolene Scarborough, Segolene Scarborough, Attorney-in-Fact for Peter Hebert, Managing Member 03/19/2021
LUX VENTURES IV, L.P., By: Lux Venture Partners IV, LLC, Its: General Partner, /s/ Segolene Scarborough, Segolene Scarborough, Attorney-in-Fact for Peter Hebert, Managing Member 03/19/2021
LUX CO-INVEST PARTNERS, LLC, /s/ Segolene Scarborough, Segolene Scarborough, Attorney-in-Fact for Peter Hebert, Managing Member 03/19/2021
LUX CO-INVEST OPPORTUNITIES, L.P., By: Lux Co-Invest Partners, LLC, Its: General Partner, /s/ Segolene Scarborough, Segolene Scarborough, Attorney-in-Fact for Peter Hebert, Managing Member 03/19/2021
** 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).
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