SEC FORM 3 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*
Fairbairn Malcolm

(Last) (First) (Middle)
C/O ASCEND CAPITAL, LLC
4 ORINDA WAY, SUITE 200-C

(Street)
ORINDA CA 94563

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/09/2016
3. Issuer Name and Ticker or Trading Symbol
Energous Corp [ WATT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) X Other (specify below)
Member of 10% Owner Group
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)
Common Stock 81,667 I By Spouse(1)
Common Stock 315,462 I See footnote(1)(2)
Common Stock 133,333 I By Trust(1)(3)
Common Stock 133,333 I By Trust(1)(4)
Common Stock 1,618,123 I See footnote(1)(5)
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
Warrant 02/13/2017 08/12/2021 Common Stock 809,061 23 D(1)
Warrant 02/13/2017 08/12/2021 Common Stock 809,062 23 I By Spouse(1)
Warrant 05/19/2013 03/31/2019 Common Stock 13,889 3.6 I By Spouse(1)
1. Name and Address of Reporting Person*
Fairbairn Malcolm

(Last) (First) (Middle)
C/O ASCEND CAPITAL, LLC
4 ORINDA WAY, SUITE 200-C

(Street)
ORINDA CA 94563

(City) (State) (Zip)
1. Name and Address of Reporting Person*
FAIRBAIRN EMILY

(Last) (First) (Middle)
C/O ASCEND CAPITAL, LLC
4 ORINDA WAY, SUITE 200-C

(Street)
ORINDA CA 94563

(City) (State) (Zip)
1. Name and Address of Reporting Person*
VALLEY HIGH LIMITED PARTNERSHIP

(Last) (First) (Middle)
C/O ASCEND CAPITAL, LLC
4 ORINDA WAY, SUITE 200-C

(Street)
ORINDA CA 94563

(City) (State) (Zip)
1. Name and Address of Reporting Person*
VALLEY HIGH CAPITAL LLC

(Last) (First) (Middle)
C/O ASCEND CAPITAL, LLC
4 ORINDA WAY, SUITE 200-C

(Street)
ORINDA CA 94563

(City) (State) (Zip)
1. Name and Address of Reporting Person*
GRANT FAIRBAIRN IRREVOCABLE TRUST SEPTEMBER 30, 2011

(Last) (First) (Middle)
C/O ASCEND CAPITAL, LLC
4 ORINDA WAY, SUITE 200-C

(Street)
ORINDA CA 94563

(City) (State) (Zip)
1. Name and Address of Reporting Person*
NINA FAIRBAIRN IRREVOCABLE TRUST SEPTEMBER 30, 2011

(Last) (First) (Middle)
C/O ASCEND CAPITAL, LLC
4 ORINDA WAY, SUITE 200-C

(Street)
ORINDA CA 94563

(City) (State) (Zip)
Explanation of Responses:
1. Malcolm Fairbairn is a 10% owner of the shares of common stock (the "Shares") of Energous Corporation, a Delaware corporation (the "Issuer"). Malcolm Fairbairn, Emily Fairbairn, Valley High Limited Partnership, Valley High Capital LLC, Nina Fairbairn Irrevocable Trust September 30, 2011, Grant Fairbairn Irrevocable Trust September 30, 2011, Ascend Legend Master Fund, Ltd., Ascend Legend Fund, Ltd., Ascend Partners Fund I, Ltd., Ascend Capital Limited Partnership and Ascend Capital, LLC are members of a 10% group of the Issuer. Please see the Form 3 with respect to the Issuer filed on August 19, 2016 by Ascend Legend Master Fund, Ltd. for more information regarding the Shares held by Ascend Legend Master Fund, Ltd., Ascend Legend Fund, Ltd., Ascend Partners Fund I, Ltd., Ascend Capital Limited Partnership and Ascend Capital, LLC.
2. Valley High Limited Partnership is the direct beneficial owner of these Shares. Valley High Capital LLC is the general partner of Valley High Limited Partnership. Malcolm Fairbairn and Emily Fairbairn are the managing members of Valley High Capital LLC. Valley High Capital LLC, Malcolm Fairbairn and Emily Fairbairn are indirect beneficial owners of these Shares.
3. Nina Fairbairn Irrevocable Trust September 30, 2011 is the direct beneficial owner of these Shares. Malcolm Fairbairn and Emily Fairbairn are co-trustees of the Nina Fairbairn Irrevocable Trust September 30, 2011. Malcolm Fairbairn and Emily Fairbairn are indirect beneficial owners of these Shares.
4. Grant Fairbairn Irrevocable Trust September 30, 2011 is the direct beneficial owner of these Shares. Malcolm Fairbairn and Emily Fairbairn are co-trustees of the Grant Fairbairn Irrevocable Trust September 30, 2011. Malcolm Fairbairn and Emily Fairbairn are indirect beneficial owners of these Shares.
5. These Shares are directly held by Ascend Legend Master Fund, Ltd., which has filed a separate Form 3 with respect to these Shares on August 19, 2016. Malcolm Fairbairn is an indirect beneficial owner of these Shares.
MALCOLM P. FAIRBAIRN 08/19/2016
EMILY FAIRBAIRN 08/19/2016
VALLEY HIGH LIMITED PARTNERSHIP By: Valley High Capital LLC By: Name: Malcolm Fairbairn Title: Managing Member 08/19/2016
VALLEY HIGH CAPITAL LLC By: Name: Malcolm Fairbairn Title: Managing Member 08/19/2016
GRANT FAIRBAIRN IRREVOCABLE TRUST SEPTEMBER 30, 2011 By: Name: Malcolm Fairbairn Title: Trustee 08/19/2016
NINA FAIRBAIRN IRREVOCABLE TRUST SEPTEMBER 30, 2011 By: Name: Malcolm Fairbairn Title: Trustee 08/19/2016
** 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).
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