0001213900-20-032629.txt : 20201021
0001213900-20-032629.hdr.sgml : 20201021
20201021172752
ACCESSION NUMBER: 0001213900-20-032629
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201002
FILED AS OF DATE: 20201021
DATE AS OF CHANGE: 20201021
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Forum Investors III LLC
CENTRAL INDEX KEY: 0001821627
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39457
FILM NUMBER: 201251169
BUSINESS ADDRESS:
STREET 1: 1615 SOUTH CONGRESS AVENUE, SUITE 103
CITY: DELRAY BEACH
STATE: FL
ZIP: 33445
BUSINESS PHONE: 2127397860
MAIL ADDRESS:
STREET 1: 1615 SOUTH CONGRESS AVENUE, SUITE 103
CITY: DELRAY BEACH
STATE: FL
ZIP: 33445
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Forum Capital Management III LLC
CENTRAL INDEX KEY: 0001821833
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39457
FILM NUMBER: 201251170
BUSINESS ADDRESS:
STREET 1: 1615 SOUTH CONGRESS AVENUE, SUITE 103
CITY: DELRAY BEACH
STATE: FL
ZIP: 33445
BUSINESS PHONE: 9175536116
MAIL ADDRESS:
STREET 1: 1615 SOUTH CONGRESS AVENUE, SUITE 103
CITY: DELRAY BEACH
STATE: FL
ZIP: 33445
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kiev Marshall
CENTRAL INDEX KEY: 0001701748
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39457
FILM NUMBER: 201251171
MAIL ADDRESS:
STREET 1: 135 EAST 57TH STREET 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boris David
CENTRAL INDEX KEY: 0001522248
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39457
FILM NUMBER: 201251172
MAIL ADDRESS:
STREET 1: C/O TRIO MERGER CORP.
STREET 2: 777 THIRD AVENUE, 37TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10017
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Forum Merger III Corp
CENTRAL INDEX KEY: 0001784168
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1615 SOUTH CONGRESS AVENUE
STREET 2: SUITE 103
CITY: DELRAY BEACH
STATE: FL
ZIP: 33445
BUSINESS PHONE: 212-739-7860
MAIL ADDRESS:
STREET 1: 1615 SOUTH CONGRESS AVENUE
STREET 2: SUITE 103
CITY: DELRAY BEACH
STATE: FL
ZIP: 33445
4
1
ownership.xml
X0306
4
2020-10-02
0
0001784168
Forum Merger III Corp
FIII
0001821627
Forum Investors III LLC
C/O FORUM MERGER III CORPORATION
1615 SOUTH CONGRESS AVENUE, SUITE 103
DELRAY BEACH
FL
33445
1
0
1
1
*Director by Deputization
0001821833
Forum Capital Management III LLC
C/O FORUM MERGER III CORPORATION
1615 SOUTH CONGRESS AVENUE, SUITE 103
DELRAY BEACH
FL
33445
1
0
1
0
0001701748
Kiev Marshall
C/O FORUM MERGER III CORPORATION
1615 SOUTH CONGRESS AVENUE, SUITE 103
DELRAY BEACH
FL
33445
1
1
1
0
Co-CEO and President
0001522248
Boris David
C/O FORUM MERGER III CORPORATION
1615 SOUTH CONGRESS AVENUE, SUITE 103
DELRAY BEACH
FL
33445
1
1
1
0
Co-CEO and CFO
Class B Common Stock
2020-10-02
4
D
0
937500
0
D
Class A Common Stock
937500
6250000
D
On October 21, 2020, Forum Investors III LLC (the "Sponsor") forfeited at no cost 937,500 shares of Class B common stock of the Issuer, which was exempted pursuant to Rule 16b-3(e) under the Securities Exchange Act of 1934, as amended (the "Exchange Act"), in connection with the election by the underwriters of the Issuer's initial public offering of units to not exercise an option granted to them to cover over-allotments.
The shares of Class B common stock are convertible for shares of the Issuer's Class A common stock as described under the heading "Description of Securities" in the Issuer's registration statement on Form S-1 (File No. 333-240171) (the "Registration Statement") and have no expiration date
The Sponsor is the record holder of the shares reported herein. Marshall Kiev and David Boris are the managing members of Forum Capital Management III LLC, which is the managing member of the Sponsor. As such, David Boris and Marshall Kiev may be deemed to have beneficial ownership of the securities held directly by the Sponsor. Each such entity or person disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest they may have therein, directly or indirectly.
/s/ Daniel Nussen, Attorney-in-Fact for Forum Investors III LLC
2020-10-21
/s/ Daniel Nussen, Attorney-in-Fact for Forum Capital Management III LLC
2020-10-21
/s/ Daniel Nussen, Attorney-in-Fact for Marshall Kiev
2020-10-21
/s/ Daniel Nussen, Attorney-in-Fact for David Boris
2020-10-21