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*
Alpine Acquisition Sponsor LLC

(Last) (First) (Middle)
C/O ALPINE ACQUISITION CORPORATION
10141 N. CANYON VIEW LANE

(Street)
FOUNTAIN HILLS AZ 85268

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/30/2021
3. Issuer Name and Ticker or Trading Symbol
Alpine Acquisition Corp. [ REVE ]
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)
Common Stock 2,830,000(1)(2)(4) I By Alpine Acquisition Sponsor LLC(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
Warrants (5) (6) Common Stock 4,925,000(4) $11.5 I By Alpine Acquisition Sponsor LLC(3)
1. Name and Address of Reporting Person*
Alpine Acquisition Sponsor LLC

(Last) (First) (Middle)
C/O ALPINE ACQUISITION CORPORATION
10141 N. CANYON VIEW LANE

(Street)
FOUNTAIN HILLS AZ 85268

(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*
BLUTINGER ELAN

(Last) (First) (Middle)
C/O ALPINE ACQUISITION SPONSOR LLC
10141 N. CANYON VIEW LANE

(Street)
FOUNTAIN HILLS AZ 85268

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
Officer (give title below) Other (specify below)
Chairman
Explanation of Responses:
1. Includes up to 375,000 shares that may be forfeited if the underwriters of the Issuer's initial public offering do not exercise the overallotment option in full.
2. Does not include 45,000 shares held by advisors of the Issuer that may revert to Alpine Acquisition Sponsor LLC ("Sponsor") in certain circumstances.
3. The securities are owned directly by Sponsor, a ten percent owner of the Issuer, and indirectly the Issuer's Chairperson, Elan Blutinger, who has voting and dispositive power over the shares owned by Sponsor.
4. Includes securities underlying warrants which, prior to the effective date of the registration statement relating to the Issuer's initial public offering, the reporting person irrevocably committed to purchase. Does not include securities underlying up to 487,500 units which such entity irrevocably committed to purchase in the event the underwriters in the Issuer's initial public offering exercise the overallotment option in full.
5. Each warrant will become exercisable 30 days after the completion of an initial business combination.
6. Each warrant will expire five years after the completion of an initial business combination.
/s/ Elan Blutinger, as Managing Member of Alpine Acquisition Sponsor LLC 08/30/2021
/s/ Elan Blutinger 08/30/2021
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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