0001213900-22-011641.txt : 20220310
0001213900-22-011641.hdr.sgml : 20220310
20220310173021
ACCESSION NUMBER: 0001213900-22-011641
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220106
FILED AS OF DATE: 20220310
DATE AS OF CHANGE: 20220310
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Briones David S.
CENTRAL INDEX KEY: 0001599831
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41184
FILM NUMBER: 22730236
MAIL ADDRESS:
STREET 1: C/O PETRO RIVER OIL COMPANY
STREET 2: 1980 POST OAK BLVD., SUITE 2020
CITY: HOUSTON
STATE: TX
ZIP: 77056
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Larkspur Health Acquisition Corp.
CENTRAL INDEX KEY: 0001859007
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 862685744
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 217 W. MAIN STREET
CITY: SOMERVILLE
STATE: NJ
ZIP: 08876
BUSINESS PHONE: 908-370-5102
MAIL ADDRESS:
STREET 1: 217 W. MAIN STREET
CITY: SOMERVILLE
STATE: NJ
ZIP: 08876
4
1
ownership.xml
X0306
4
2022-01-06
0
0001859007
Larkspur Health Acquisition Corp.
LSPR
0001599831
Briones David S.
100 SOMERSET CORPORATE BLVD.,
2ND FLOOR
BRIDGEWATER
NJ
08807
1
1
0
0
Chief Financial Officer
Class A Common Stock
2022-01-06
4
J
0
10752
0.00
A
10752
I
see footnote
Class B common stock
2022-01-06
4
J
0
1533
0.00
D
Class A common stock
1533
55967
I
see footnote
Class B common stock
2022-01-06
4
J
0
91
0.00
A
Class A common stock
156
56123
I
see footnote
These shares are underlying units (each unit consisting of one share of Class A common stock and three-fourths of one warrant, each whole warrant exercisable to purchase one share of Class A common stock) acquired in a private placement by the Larkspur Health LLC (the "Sponsor") in connection with the issuer's initial public offering and subsequent partial exercise of the underwriters' over-allotment option. The above refers to the shares of Class A common stock included in the units purchased.
The shares represent those owned by Mr. Briones, a member of Larkspur Health LLC based on his pro rata share of ownership of Larkspur Health LLC.
As described in the Issuer's registration statement on Form S-1 (File No. 333-256056) (the "Registration Statement") under the section entitled "Description of Securities - Founder Shares," the shares of Class B Common Stock, par value $0.0001 per share, will automatically be converted into shares of Class A Common Stock, par value $0.0001 per share, at the time of the Issuer's initial business combination, on a one-for-one basis, subject to certain adjustment described therein, and have no expiration date
As contemplated in connection with the initial public offering of the Issuer, 22,343 shares of Class B common stock of the Issuer were forfeited for no consideration and cancelled because the underwriters of the Issuer's initial public offering did not exercise their over-allotment option in full, as described in the Issuer's Registration Statement.
In connection with the partial exercise of the underwriters' over-allotment option, A.G.P./Alliance Global Partners transferred 3,427 shares to the Sponsor for no consideration.
/s/ David Briones
2022-03-10