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*
Sloss Dakin

(Last) (First) (Middle)
P.O. BOX 12829

(Street)
JACKSON WY 83002

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/30/2021
3. Issuer Name and Ticker or Trading Symbol
Heliogen, Inc. [ HLGN ]
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)
06/30/2022
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)
Common Stock 19,930,277 I See footnote(1)(3)
Common Stock 6,668,457 I See footnote(2)(3)
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*
Sloss Dakin

(Last) (First) (Middle)
P.O. BOX 12829

(Street)
JACKSON WY 83002

(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*
Prime Movers Lab Fund I LP

(Last) (First) (Middle)
P.O. BOX 12829

(Street)
JACKSON WY 83002

(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*
Heliogen PML SPV 1 LP

(Last) (First) (Middle)
P.O. BOX 12829

(Street)
JACKSON WY 83002

(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*
Prime Movers Lab GP I LLC

(Last) (First) (Middle)
P.O. BOX 12829

(Street)
JACKSON WY 83002

(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*
Prime Movers Lab GP II LLC

(Last) (First) (Middle)
P.O. BOX 12829

(Street)
JACKSON WY 83002

(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. Shares are held by Prime Movers Lab Fund I LP ("PML"). Prime Movers Lab GP I LLC ("PML GP") is the general partner of PML. Dakin Sloss is the manager of PML GP and may be deemed to have or share beneficial ownership of the shares held by PML. Mr. Sloss disclaims any beneficial ownership of the securities reported herein for purposes of Section 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), except to the extent of its pecuniary interest therein.
2. Shares held by Heliogen PML SPV 1 LP ("Heliogen PML"). Prime Movers Lab GP II LLC ("PML GP II") is the general partner of Heliogen PML. Dakin Sloss is the manager of PML GP II and may be deemed to have or share beneficial ownership of the shares held by Heliogen PML. Mr. Sloss disclaims any beneficial ownership of the securities reported herein for purposes of Section 16 of the Exchange Act, except to the extent of its pecuniary interest therein.
3. This amendment is being filed to correct a technical error that caused the omission of PML GP and PML GP II as reporting persons.
/s/ Dakin Sloss /s/ Taylor Frankel, Authorized Person 07/12/2022
/s/ Prime Movers Lab Fund I LP /s/ Taylor Frankel, Authorized Person 07/12/2022
/s/ Heliogen PML SPV 1 LP /s/ Taylor Frankel, Authorized Person 07/12/2022
/s/ Prime Movers Lab GP I LLC /s/ Taylor Frankel, Authorized Person 07/12/2022
/s/ Prime Movers Lab GP II LLC /s/ Taylor Frankel, Authorized Person 07/12/2022
** 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.