0001094891-17-000213.txt : 20170822 0001094891-17-000213.hdr.sgml : 20170822 20170822160854 ACCESSION NUMBER: 0001094891-17-000213 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170821 FILED AS OF DATE: 20170822 DATE AS OF CHANGE: 20170822 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EIN MARK CENTRAL INDEX KEY: 0001246840 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38186 FILM NUMBER: 171045268 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Capitol Investment Corp. IV CENTRAL INDEX KEY: 0001709682 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 000000000 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 509 7TH STREET, N.W. CITY: WASHINGTON STATE: DC ZIP: 20004 BUSINESS PHONE: 202-654-7060 MAIL ADDRESS: STREET 1: 509 7TH STREET, N.W. CITY: WASHINGTON STATE: DC ZIP: 20004 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-08-21 0001709682 Capitol Investment Corp. IV CIC 0001246840 EIN MARK C/O CAPITOL INVESTMENT CORP. IV 509 7TH STREET, N.W. WASHINGTON DC 20004 1 1 1 0 Chairman and CEO Warrants 11.50 2017-08-21 4 A 0 466667 1.50 A Class A ordinary shares 466667 4088889 I By Capitol Acquisition Management IV, LLC These warrants were purchased due to the exercise of the underwriters' over-allotment option in order to maintain in the Issuer's trust account an amount equal to $10.00 per unit sold to the public in the Issuer's initial public offering. These warrants were purchased in a private placement that occurred simultaneously with the closing of the Issuer's initial public offering. The warrants will become exercisable on the later of 30 days after the completion of the Issuer's initial business combination or 12 months from the closing of the IPO. The warrants will expire on the fifth anniversary of the completion of the Issuer's initial business combination. Mr. Ein controls Capitol Acquisition Management IV, LLC. /s/ Mark D. Ein 2017-08-21