0001062993-21-008886.txt : 20210923 0001062993-21-008886.hdr.sgml : 20210923 20210923201200 ACCESSION NUMBER: 0001062993-21-008886 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210923 FILED AS OF DATE: 20210923 DATE AS OF CHANGE: 20210923 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miotto Neil CENTRAL INDEX KEY: 0001390808 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40839 FILM NUMBER: 211273707 MAIL ADDRESS: STREET 1: 2146 HARKINS AVE CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GigCapital5, Inc. CENTRAL INDEX KEY: 0001844505 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 861728920 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1731 EMBARCADERO ROAD SUITE 200 CITY: PALO ALTO STATE: CA ZIP: 94303 BUSINESS PHONE: 6502767040 MAIL ADDRESS: STREET 1: 1731 EMBARCADERO ROAD SUITE 200 CITY: PALO ALTO STATE: CA ZIP: 94303 3 1 form3.xml INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES X0206 3 2021-09-23 0 0001844505 GigCapital5, Inc. GIA.U 0001390808 Miotto Neil C/O GIGCAPITAL5, INC. 1731 EMBARCADERO ROAD, SUITE 200 PALO ALTO CA 94303 1 0 1 0 Common Stock 5735000 I By GigAcquisitions5, LLC (see note below) Includes up to 750,000 shares of common stock that are subject to forfeiture depending on the extent to which the underwriters' over-allotment is exercised, if at all. The Common Stock is held directly by GigAcquisitions5, LLC (the "Sponsor"). Mr. Miotto is a member of GigFounders, LLC ("GigFounders"), which has a financial and voting interest in the Sponsor as a member of the Sponsor and that entitles GigFounders to participate in any economic return of the Sponsor in accordance with terms negotiated with the other holders of financial and voting interests in the Sponsor. Accordingly, the shares of Common Stock held by the Sponsor, subject to the interests of such other holders, are indirectly and beneficially owned by Mr. Miotto by virtue of his financial interest in GigFounders. /s/ Neil Miotto 2021-09-23