0000950142-21-000513.txt : 20210211
0000950142-21-000513.hdr.sgml : 20210211
20210211214501
ACCESSION NUMBER: 0000950142-21-000513
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210211
FILED AS OF DATE: 20210211
DATE AS OF CHANGE: 20210211
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: 001-40052
FILM NUMBER: 21622315
MAIL ADDRESS:
STREET 1: C/O DAVIS POLK & WARDWELL
STREET 2: 450 LEXINGTON AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10017
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: 001-40052
FILM NUMBER: 21622316
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: Churchill Sponsor VI LLC
CENTRAL INDEX KEY: 0001828245
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40052
FILM NUMBER: 21622317
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
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Churchill Capital Corp VI
CENTRAL INDEX KEY: 0001828250
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
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
3
1
es210130380_3-ccvimka.xml
OWNERSHIP DOCUMENT
X0206
3
2021-02-11
0
0001828250
Churchill Capital Corp VI
CCVI
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
0001828245
Churchill Sponsor VI 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
13800000
I
See Footnotes
The reported shares of Churchill Capital Corp VI (the "Issuer") are directly held by Churchill Sponsor VI LLC and include 1,800,000 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. 333-252005). The shares of Class B common stock have no expiration date.
Michael Klein is the controlling stockholder of M. Klein Associates, Inc., which is the managing member of Churchill Sponsor VI LLC.
Chief Executive Officer, President and Chairman of the Board of Directors
/s/ Michael Klein
2021-02-11
M. KLEIN ASSOCIATES, INC., Name: Jay Taragin, Title: Authorized Person: /s/ Jay Taragin
2021-02-11
Churchill Sponsor VI LLC, by: M. Klein Associates, Inc., its manager, Name: Jay Taragin, Title: Authorized Person: /s/ Jay Taragin
2021-02-11