0000950142-20-001838.txt : 20200729
0000950142-20-001838.hdr.sgml : 20200729
20200729214040
ACCESSION NUMBER: 0000950142-20-001838
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200729
FILED AS OF DATE: 20200729
DATE AS OF CHANGE: 20200729
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Churchill Sponsor IV LLC
CENTRAL INDEX KEY: 0001811289
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39408
FILM NUMBER: 201058898
BUSINESS ADDRESS:
STREET 1: 640 FIFTH AVENUE, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
BUSINESS PHONE: (212) 380-7500
MAIL ADDRESS:
STREET 1: 640 FIFTH AVENUE, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
FORMER NAME:
FORMER CONFORMED NAME: Annetta Sponsor LLC
DATE OF NAME CHANGE: 20200504
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: M. Klein Associates, Inc.
CENTRAL INDEX KEY: 0001751504
STATE OF INCORPORATION: NY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39408
FILM NUMBER: 201058899
BUSINESS ADDRESS:
STREET 1: 640 FIFTH AVENUE, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
BUSINESS PHONE: 212-380-7500
MAIL ADDRESS:
STREET 1: 640 FIFTH AVENUE, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Klein Michael Stuart
CENTRAL INDEX KEY: 0001327392
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39408
FILM NUMBER: 201058900
MAIL ADDRESS:
STREET 1: C/O DAVIS POLK & WARDWELL
STREET 2: 450 LEXINGTON AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10017
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Churchill Capital Corp IV
CENTRAL INDEX KEY: 0001811210
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 850891392
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 640 FIFTH AVENUE, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
BUSINESS PHONE: (212) 380-7500
MAIL ADDRESS:
STREET 1: 640 FIFTH AVENUE, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
FORMER COMPANY:
FORMER CONFORMED NAME: Annetta Acquisition Corp
DATE OF NAME CHANGE: 20200504
3
1
es2000808_3-kleinann.xml
OWNERSHIP DOCUMENT
X0206
3
2020-07-29
0
0001811210
Churchill Capital Corp IV
CCIV
0001327392
Klein Michael Stuart
640 5TH AVENUE, 12TH FLOOR
NEW YORK
NY
10019
1
1
1
0
See Remarks
0001751504
M. Klein Associates, Inc.
640 FIFTH AVENUE, 12TH FLOOR
NEW YORK
NY
10019
0
0
1
0
0001811289
Churchill Sponsor IV LLC
640 FIFTH AVENUE, 12TH FLOOR
NEW YORK
NY
10019
0
0
1
0
Class B common stock, par value $0.0001 per share
Class A common stock, par value $0.0001 per share
51750000
I
See Explanation of Reponses
Churchill Capital Corp IV (the "Issuer") including 6,750,000 shares of Class B Shares that are subject to forfeiture if the underwriters of the Issuer's initial public offering do not exercise in full an option granted to them to cover over-allotments. Pursuant to the Issuer's Amended and Restated Certificate of Incorporation, the Class B Shares will automatically convert into shares of Class A common stock, par value $0.0001 per share, of the Issuer at the time of the Issuer's initial business combination on a one-for-one basis, subject to adjustment as described under the heading "Description of Securities- Founder Shares" in the Issuer's registration statement on Form S-1 (File No. 333-239856). The shares of Class B common stock have no expiration date.
Michael Klein is the sole stockholder of M. Klein Associates, Inc., which is the managing member of Churchill Sponsor IV LLC.
CEO, President & Chairman of the Board of Directors
/s/ Michael Klein
2020-07-29
M. KLEIN ASSOCIATES, INC., Name: Jay Taragin, Title: Authorized Person: /s/ Jay Taragin
2020-07-29
Churchill Sponsor IV LLC, by: M. Klein Associates, Inc., its manager, Name: Jay Taragin, Title: Authorized Person: /s/ Jay Taragin
2020-07-29