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Amended MOBX filing notes 125,000 indirect via KSSF Trust

Filing Impact
(Neutral)
Filing Sentiment
(Neutral)
Form Type
4/A

Rhea-AI Filing Summary

Mobix Labs, Inc. (MOBX) reported an amended insider filing (Form 4/A) to correct the officer’s reported holdings. The amendment updates the directly held Class A common stock beneficially owned to 2,550,000 shares as of the prior filing date referenced.

The filing also lists indirect derivative holdings through the KSSF Trust tied to 125,000 shares of Class A. The Class B common stock is convertible into Class A at the holder’s option and will convert automatically upon a non‑permitted transfer or on the first trading day after the seventh anniversary of the December 21, 2023 closing date. The reporting person serves as President, CFO & Director.

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Insider SAMINI KEYVAN
Role President, CFO & Director
Type Security Shares Price Value
holding Class B Common Stock -- -- --
holding Class A Common Stock -- -- --
Holdings After Transaction: Class B Common Stock — 125,000 shares (Indirect, By KSSF Trust); Class A Common Stock — 2,550,000 shares (Direct)
Footnotes (1)
  1. On August 13, 2025, the Reporting Person filed a Form 4 which incorrectly recorded the number of shares held directly due to an administrative error. This amendment reflects the correct amount of shares held as of such date. The shares of Class B Common Stock are convertible into shares of Class A Common Stock at the option of the Reporting Person, and will be automatically converted upon (i) a transfer by the Reporting Person (other than a permitted transfer) or (ii) the first trading day after the seventh anniversary date of the Closing Date (December 21, 2023). The number of shares of Class B Common Stock beneficially owned by the Reporting Person has been reduced to remove the Class B Common Stock underlying the Restricted Stock Awards granted on May 30, 2025. The Reporting Person is a trustee of this trust. The Reporting Person disclaims beneficial ownership of the securities held by this trust except to the extent of his respective pecuniary interest therein.
Form 4 Insider Transactions: What Each Field Means →
SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
SAMINI KEYVAN
(Last) (First) (Middle)
C/O MOBIX LABS, INC.
1 VENTURE, SUITE 220
(Street)
IRVINE CA 92618
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MOBIX LABS, INC [ MOBX ] 		5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President, CFO & Director
3. Date of Earliest Transaction (Month/Day/Year)
05/05/2025
4. If Amendment, Date of Original Filed (Month/Day/Year)
08/13/2025 		6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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
Class A Common Stock 2,550,000(1) D
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: 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
Class B Common Stock (2) (2) (2) Class A Common Stock 125,000 125,000(3) I(4) By KSSF Trust
Explanation of Responses:
1. On August 13, 2025, the Reporting Person filed a Form 4 which incorrectly recorded the number of shares held directly due to an administrative error. This amendment reflects the correct amount of shares held as of such date.
2. The shares of Class B Common Stock are convertible into shares of Class A Common Stock at the option of the Reporting Person, and will be automatically converted upon (i) a transfer by the Reporting Person (other than a permitted transfer) or (ii) the first trading day after the seventh anniversary date of the Closing Date (December 21, 2023).
3. The number of shares of Class B Common Stock beneficially owned by the Reporting Person has been reduced to remove the Class B Common Stock underlying the Restricted Stock Awards granted on May 30, 2025.
4. The Reporting Person is a trustee of this trust. The Reporting Person disclaims beneficial ownership of the securities held by this trust except to the extent of his respective pecuniary interest therein.
/s/ Terri Aprati, Attorney-in-Fact 10/15/2025
** 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 4 (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.

Source: View Original Filing on SEC EDGAR

FAQ

What did MOBX’s Form 4/A change?

It corrected the officer’s reported holdings, updating directly held Class A common stock to 2,550,000 shares.

How many MOBX shares does the officer now report directly?

The filing shows 2,550,000 shares of Class A common stock held directly.

What indirect or derivative holdings are disclosed for MOBX?

Indirect derivative holdings via KSSF Trust tied to 125,000 shares of Class A are listed.

What are the conversion terms for MOBX Class B shares?

Class B converts into Class A at the holder’s option and automatically after a non‑permitted transfer or on the first trading day after the seventh anniversary of December 21, 2023.

Who is the reporting person and role at MOBX?

The reporting person is a Director and serves as President, CFO & Director.

What trust is referenced in the MOBX filing?

The filing references the KSSF Trust, for which the reporting person is a trustee and disclaims beneficial ownership except to pecuniary interest.