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