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