0001213900-21-033705.txt : 20210623 0001213900-21-033705.hdr.sgml : 20210623 20210623100604 ACCESSION NUMBER: 0001213900-21-033705 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210621 FILED AS OF DATE: 20210623 DATE AS OF CHANGE: 20210623 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: 211037443 MAIL ADDRESS: STREET 1: 135 EAST 57TH STREET 8TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Forum Merger III Corp CENTRAL INDEX KEY: 0001784168 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] 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 2021-06-21 0 0001784168 Forum Merger III Corp FIII 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 Class A Common Stock 2021-06-21 4 P 0 500000 9.845 A 500000 I By West Branch Investors, LLC Class A Common Stock 616250 I By Forum Investors III LLC The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $9.275 to $10.080, inclusive. The reporting person undertakes to provide to Forum Merger III Corporation ("Forum"), any security holder of Forum, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within this range. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. Represents 616,250 shares of Class A common stock included in the Private Placement Units, as described under the heading "Description of Securities" in Forum's registration statement on Form S-1 (File No. 333-240171), which are held by Forum Investors III LLC (the "Sponsor"). Mr. Kiev is a managing member of Forum Capital Management III LLC, which is the managing member of the Sponsor. As such, Mr. Kiev may be deemed to have beneficial ownership of the securities held of record by the Sponsor. Mr. Kiev disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. /s/ Marshall Kiev 2021-06-23