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