0001213900-20-040288.txt : 20201201 0001213900-20-040288.hdr.sgml : 20201201 20201201182833 ACCESSION NUMBER: 0001213900-20-040288 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20201201 FILED AS OF DATE: 20201201 DATE AS OF CHANGE: 20201201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dryden L. Dyson CENTRAL INDEX KEY: 0001574445 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39754 FILM NUMBER: 201361922 MAIL ADDRESS: STREET 1: 305 WEST PENNSYLVANIA AVENUE CITY: TOWSON STATE: MD ZIP: 21204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Capitol Acquisition Founder V, LLC CENTRAL INDEX KEY: 0001833381 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39754 FILM NUMBER: 201361923 BUSINESS ADDRESS: STREET 1: 1300 17TH STREET NORTH STREET 2: SUITE 820 CITY: ARLINGTON STATE: VA ZIP: 22209 BUSINESS PHONE: (202) 654-7060 MAIL ADDRESS: STREET 1: 1300 17TH STREET NORTH STREET 2: SUITE 820 CITY: ARLINGTON STATE: VA ZIP: 22209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Capitol Investment Corp. V CENTRAL INDEX KEY: 0001722438 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 000000000 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ARLINGTON TOWER STREET 2: 1300 N 17TH STREET, SUITE 820 CITY: ARLINGTON STATE: VA ZIP: 22209 BUSINESS PHONE: (202) 654-7060 MAIL ADDRESS: STREET 1: ARLINGTON TOWER STREET 2: 1300 N 17TH STREET, SUITE 820 CITY: ARLINGTON STATE: VA ZIP: 22209 3 1 ownership.xml X0206 3 2020-12-01 0 0001722438 Capitol Investment Corp. V CAP 0001833381 Capitol Acquisition Founder V, LLC 1300 17TH STREET NORTH, SUITE 820 ARLINGTON VA 22209 0 0 1 0 0001574445 Dryden L. Dyson C/O CAPITOL INVESTMENT CORP. V. 1300 17TH STREET NORTH, SUITE 820 ARLINGTON VA 22209 1 1 1 0 President, CFO Class B Common Stock Class A Common Stock 3088605 I See footnote The Class B common stock will automatically convert into shares of Class A common stock at the completion of the Issuer's initial business combination on a one-for-one basis, subject to adjustment. Represents shares held by Capitol Acquisition Founder V LLC, which is controlled by L. Dyson Dryden. Exhibit 24 - Power of Attorney. Capitol Acquisition Founder V LLC /s/ L. Dyson Dryden, Managing Member 2020-12-01 /s/ L. Dyson Dryden 2020-12-01 EX-24 2 ea130780ex24_capital.htm POWER OF ATTORNEY

Exhibit 24

 

POWER OF ATTORNEY

 

With respect to holdings of and transactions in securities issued by Capitol Investment Corp. V (the “Company”), the undersigned hereby constitutes and appoints the individuals named on Schedule A attached hereto and as may be amended from time to time, or any of them signing singly, with full power of substitution and resubstitution, to act as the undersigned’s true and lawful attorney-in-fact to:

 

1.execute for and on behalf of the undersigned, Schedules 13D and 13G in accordance with Section 13 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and the rules thereunder, and Forms 3, 4, and 5 in accordance with Section 16 of the Exchange Act and the rules thereunder;

 

2.do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Schedule 13D or 13G or Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such schedule or form with the SEC and any stock exchange or similar authority; and

 

3.take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution and resubstitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorneys-in-fact substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted.

 

The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 13 and Section 16 of the Exchange Act.

 

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Schedule 13D and 13G and Forms 3, 4, and 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 18th day of November, 2020.

 

  /s/ L. Dyson Dryden
  L. Dyson Dryden

 

 

  

 

Schedule A

 

Individuals Appointed as Attorney-in-Fact with Full Power of Substitution and Resubstitution

 

1. Mark D. Ein

2. Alfheidur H. Saemundsson