0001104659-20-139622.txt : 20201228 0001104659-20-139622.hdr.sgml : 20201228 20201228122927 ACCESSION NUMBER: 0001104659-20-139622 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201222 FILED AS OF DATE: 20201228 DATE AS OF CHANGE: 20201228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MATLIN DAVID J CENTRAL INDEX KEY: 0001251956 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39813 FILM NUMBER: 201416695 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MedTech Acquisition Corp CENTRAL INDEX KEY: 0001826667 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 853009869 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1345 AVENUE OF THE AMERICAS CITY: NEW YORK STATE: NY ZIP: 10105 BUSINESS PHONE: 6462096063 MAIL ADDRESS: STREET 1: 1345 AVENUE OF THE AMERICAS CITY: NEW YORK STATE: NY ZIP: 10105 4 1 tm2039407d2_4.xml OWNERSHIP DOCUMENT X0306 4 2020-12-22 0 0001826667 MedTech Acquisition Corp MTACU 0001251956 MATLIN DAVID J C/O MEDTECH ACQUISITION CORPORATION 600 FIFTH AVENUE, 22ND FLOOR NEW YORK NY 10022 1 1 1 0 Chief Financial Officer Class B Common Stock 2020-12-22 4 J 0 75000 0 D Class A Common Stock 75000 6250000 I See footnote 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. The Class B common stock has no expiration date. As contemplated in connection with the initial public offering of the Issuer, 75,000 shares of Class B common stock of the Issuer were returned by the reporting person to the Issuer for no consideration and cancelled because the underwriters' over-allotment option was not exercised in full. MedTech Acquisition Sponsor LLC ("Sponsor") is the record holder of the securities reported herein. David J. Matlin is a managing member of the Sponsor and may be deemed to have beneficial ownership of the securities held of record by Sponsor. Mr. Matlin disclaims any such beneficial ownership except to the extent of his pecuniary interest therein. /s/ David J. Matlin 2020-12-28