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