0001213900-21-050330.txt : 20210928
0001213900-21-050330.hdr.sgml : 20210928
20210928163258
ACCESSION NUMBER: 0001213900-21-050330
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210924
FILED AS OF DATE: 20210928
DATE AS OF CHANGE: 20210928
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HOFFEN HOWARD I
CENTRAL INDEX KEY: 0001208810
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39138
FILM NUMBER: 211287432
MAIL ADDRESS:
STREET 1: 1585 BROADWAY
CITY: NEW YORK
STATE: NY
ZIP: 10036
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Amplitude Healthcare Acquisition Corp
CENTRAL INDEX KEY: 0001788028
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 842984849
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1177 AVENUE OF THE AMERICAS FL 40
CITY: NEW YORK
STATE: NY
ZIP: 10036
BUSINESS PHONE: 212- 823-1900
MAIL ADDRESS:
STREET 1: 1177 AVENUE OF THE AMERICAS FL 40
CITY: NEW YORK
STATE: NY
ZIP: 10036
4
1
ownership.xml
X0306
4
2021-09-24
1
0001788028
Amplitude Healthcare Acquisition Corp
JSPR
0001208810
HOFFEN HOWARD I
C/O AMPLITUDE HEALTHCARE HOLDINGS LLC
1177 AVENUE OF THE AMERICAS, FL 40
NEW YORK
NY
10036
0
0
0
1
FORMER DIRECTOR
Voting Common Stock
2021-09-24
4
M
0
2300000
A
2300000
I
See Footnote
Class B Common Stock
2021-09-24
4
D
0
200000
0.00
A
Class A Common Stock
200000
0
I
See Footnote
Class B Common Stock
2021-09-24
4
M
0
2300000
A
Class A Common Stock
2300000
0
I
See Footnote
As described in the Issuer's registration statement on Form S-1 (File No. 333-234324) under the heading "Description of Securities--Founder Shares", the shares of Class B Common Stock will automatically convert into shares of Class A Common Stock at the time of the Issuer's initial business combination on a one-for-one basis, subject to certain adjustment described therein and have no expiration date.
On September 24, 2021, Amplitude Healthcare Acquisition Corporation ("AMHC" and the former name of the Issuer) consummated its business combination with Jasper Therapeutics, Inc. (the former name of Jasper Tx Corp.). In connection with the business combination, each share of Class B Common Stock converted to one share of Voting Common Stock. The reporting person resigned as a director and as an officer of the Issuer upon consummation of the business combination.
Pursuant to an agreement by and between the Issuer and Amplitude Healthcare Holdings LLC, concurrent with the consummation of the business combination, these shares of Class B Common Stock were forfeited to the Issuer as of immediately prior to the Merger.
Amplitude Healthcare Holdings LLC, is the record holder of the shares reported herein. Mr. Hoffen may be deemed to share beneficial ownership of shares held by Amplitude Healthcare Holdings LLC. Mr. Hoffen disclaims beneficial ownership of the shares held by Amplitude Healthcare Holdings LLC except to the extent of his pecuniary interest therein.
/s/ Howard Hoffen
2021-09-28