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