0001062993-21-008887.txt : 20210923
0001062993-21-008887.hdr.sgml : 20210923
20210923201327
ACCESSION NUMBER: 0001062993-21-008887
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210923
FILED AS OF DATE: 20210923
DATE AS OF CHANGE: 20210923
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HAYES DOROTHY D
CENTRAL INDEX KEY: 0001142619
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40839
FILM NUMBER: 211273709
MAIL ADDRESS:
STREET 1: P.O. BOX 7850
STREET 2: .
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94039-7850
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GigCapital5, Inc.
CENTRAL INDEX KEY: 0001844505
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 861728920
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1731 EMBARCADERO ROAD SUITE 200
CITY: PALO ALTO
STATE: CA
ZIP: 94303
BUSINESS PHONE: 6502767040
MAIL ADDRESS:
STREET 1: 1731 EMBARCADERO ROAD SUITE 200
CITY: PALO ALTO
STATE: CA
ZIP: 94303
3
1
form3.xml
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
X0206
3
2021-09-23
1
0001844505
GigCapital5, Inc.
GIA.U
0001142619
HAYES DOROTHY D
C/O GIGCAPITAL5, INC.
1731 EMBARCADERO RD., SUITE 200
PALO ALTO
CA
94303
1
0
0
0
/s/ Dorothy D Hayes
2021-09-23