0001225208-22-004294.txt : 20220307 0001225208-22-004294.hdr.sgml : 20220307 20220307162105 ACCESSION NUMBER: 0001225208-22-004294 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211109 FILED AS OF DATE: 20220307 DATE AS OF CHANGE: 20220307 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAVIS ALISON CENTRAL INDEX KEY: 0001203539 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41050 FILM NUMBER: 22718261 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Blockchain Coinvestors Acquisition Corp. I CENTRAL INDEX KEY: 0001873441 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 981607883 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: PO BOX 309 CITY: GRAND CAYMAN STATE: E9 ZIP: KY1-1104 BUSINESS PHONE: 5037272059 MAIL ADDRESS: STREET 1: 1120 NW COUCH STREET STREET 2: 10TH FLOOR CITY: PORTLAND STATE: OR ZIP: 97209 4 1 doc4.xml X0306 4 2021-11-09 0001873441 Blockchain Coinvestors Acquisition Corp. I BCSA 0001203539 DAVIS ALISON P.O. BOX 1093, BOUNDRY HALL CRICKET SQUARE GRAND CAYMAN E9 KY1-1102 CAYMAN ISLANDS 1 1 Managing Director Class A Ordinary Shares 1322000.0000 I By Blockchain Coinvestors Acquisition Sponsors I LLC Class B Ordinary Shares 2021-11-09 4 D 0 5000.0000 0.0000 D Class A Ordinary Shares 5000.0000 9850000.0000 I By Blockchain Coinvestors Acquisition Sponsors I LLC Warrants (right to buy) 11.5000 Class A Ordinary Shares 661000.0000 661000.0000 I By Blockchain Coinvestors Acquisition Sponsors I LLC Adjusted to show the reduction by 300 in the number of shares underlying the units of the issuer previously reported on Form 3A filed on March 7, 2022 to reflect the partial exercise by the underwriters of the issuer's initial public offering of their over-allotment option. As a manager of the Blockchain Coinvestors Acquisition Sponsors I LLC (the "Sponsor"), the reporting person may be deemed to share beneficial ownership of the securities held by the Sponsor. The reporting person disclaims any beneficial ownership of any securities of the issuer held by the Sponsor except to the extent of her ultimate pecuniary interest. The shares of Class B ordinary shares, par value $0.00009 per share, of the issuer will automatically convert into shares of Class A ordinary shares, par value $0.0001 per share, of the issuer upon the consummation of the issuer's initial business combination as described in the issuer's registration statement on Form S-1 (File No. 333-259091) (the "Registration Statement") in the section entitled "Description of Securities-Founders Shares." The shares of Class B ordinary shares have no expiration date. These shares represent Class B ordinary shares held by the Sponsor. The Sponsor forfeited 5,000 shares of Class B ordinary shares to the issuer for no consideration, which was exempted pursuant to Rule 16b-3(e) under the Securities Exchange Act of 1934, as amended, in connection with the underwriters' election not to exercise their over-allotment option in full. Reflects the adjustment of the number of shares of Class B ordinary shares previously reported on Form 3 filed on November 9, 2021 for the subsequent stock split and stock dividend with respect to the Class B ordinary shares effective November 9, 2021. The warrants will become exercisable at the later of 30 days after the consummation of the issuer's initial business combination or 12 months from the completion of the issuer's initial public offering. The warrants will expire five years after the consummation of the issuer's initial business combination or earlier upon redemption of all of the issuer's outstanding common stock or the issuer's liquidation. Adjusted to show the reduction by 150 in the number of warrants underlying the units of the issuer representing the right to purchase shares of Class A ordinary shares previously reported on Form 3A filed on March 7, 2022 to reflect the partial exercise by the underwriters of the issuer's initial public offering of their over-allotment option. /s/ Alison Davis 2022-03-07