0001144204-17-033111.txt : 20170619
0001144204-17-033111.hdr.sgml : 20170619
20170619190300
ACCESSION NUMBER: 0001144204-17-033111
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170619
FILED AS OF DATE: 20170619
DATE AS OF CHANGE: 20170619
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Constellation Alpha Capital Corp.
CENTRAL INDEX KEY: 0001651944
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
STATE OF INCORPORATION: D8
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: EMERALD VIEW, SUITE 400
STREET 2: 2054 VISTA PARK
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33411
BUSINESS PHONE: (561) 404-9034
MAIL ADDRESS:
STREET 1: EMERALD VIEW, SUITE 400
STREET 2: 2054 VISTA PARK
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33411
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Centripetal, LLC
CENTRAL INDEX KEY: 0001709121
STATE OF INCORPORATION: NY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38118
FILM NUMBER: 17919564
BUSINESS ADDRESS:
STREET 1: 5 BERRY LANE
CITY: NORFOLK
STATE: MA
ZIP: 02056
BUSINESS PHONE: 5614049034
MAIL ADDRESS:
STREET 1: 5 BERRY LANE
CITY: NORFOLK
STATE: MA
ZIP: 02056
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shukla Rajiv
CENTRAL INDEX KEY: 0001709033
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38118
FILM NUMBER: 17919565
MAIL ADDRESS:
STREET 1: EMERALD VIEW SUITE 400
STREET 2: 2054 VISTA PARKWAY
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33411
3
1
v469197_3.xml
OWNERSHIP DOCUMENT
X0206
3
2017-06-19
0
0001651944
Constellation Alpha Capital Corp.
CNACU
0001709033
Shukla Rajiv
EMERALD VIEW, SUITE 400
2054 VISTA PARKWAY
WEST PALM BEACH
FL
33411
1
1
1
0
CEO and Chairman
0001709121
Centripetal, LLC
EMERALD VIEW, SUITE 400
2054 VISTA PARKWAY
WEST PALM BEACH
FL
33411
0
0
1
0
Ordinary Shares
3593750
I
See Footnotes
These shares represent ordinary shares held by the issuer's sponsor, Centripetal, LLC. The shares held by the sponsor are beneficially owned by Rajiv Shukla, the issuer's Chairman and Chief Executive Officer and the managing member of the sponsor, who has sole voting and dispositive power over the shares held by the sponsor. These shares include up to an aggregate of 468,750 ordinary shares subject to forfeiture by the sponsor to the extent that the underwriters' over-allotment option is not exercised in full and 136,250 ordinary shares subject to forfeiture as a result of the issuance of 136,250 ordinary shares by the issuer to Cowen Investments, LLC upon consummation of the sale of private units in connection with the issuer's initial public offering.
Mr. Shukla disclaims beneficial ownership over any securities owned by the sponsor in which he does not have any pecuniary interest.
/s/ Rajiv Shukla
2017-06-19
/s/ Rajiv Shukla, as Managing Member of Centripetal, LLC
2017-06-19