0000899243-21-023740.txt : 20210614
0000899243-21-023740.hdr.sgml : 20210614
20210614211833
ACCESSION NUMBER: 0000899243-21-023740
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210603
FILED AS OF DATE: 20210614
DATE AS OF CHANGE: 20210614
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ITC Rumba, LLC
CENTRAL INDEX KEY: 0001706896
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39289
FILM NUMBER: 211016462
BUSINESS ADDRESS:
STREET 1: 444 MADISON AVENUE
STREET 2: 35TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 646-930-1530
MAIL ADDRESS:
STREET 1: 444 MADISON AVENUE
STREET 2: 35TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cooperstone Elliot
CENTRAL INDEX KEY: 0001865521
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39289
FILM NUMBER: 211016463
MAIL ADDRESS:
STREET 1: C/O CANO HEALTH, INC.
STREET 2: 9725 NW 117TH AVENUE, SUITE 200
CITY: MIAMI
STATE: FL
ZIP: 33178
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Cano Health, Inc.
CENTRAL INDEX KEY: 0001800682
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 9725 NW 117TH AVENUE, SUITE 200
CITY: MIAMI
STATE: FL
ZIP: 33178
BUSINESS PHONE: 2034227700
MAIL ADDRESS:
STREET 1: 9725 NW 117TH AVENUE, SUITE 200
CITY: MIAMI
STATE: FL
ZIP: 33178
FORMER COMPANY:
FORMER CONFORMED NAME: Jaws Acquisition Corp.
DATE OF NAME CHANGE: 20200121
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-06-03
0
0001800682
Cano Health, Inc.
CANO
0001865521
Cooperstone Elliot
C/O ITC RUMBA, LLC
ONE VANDERBILT AVE., 24TH FLOOR
NEW YORK
NY
10017
1
0
1
0
0001706896
ITC Rumba, LLC
C/O ITC RUMBA, LLC
ONE VANDERBILT AVE., 24TH FLOOR
NEW YORK
NY
10017
0
0
1
0
Class B Common Stock
0.00
Class A Common Stock
159780988
I
By ITC Rumba, LLC
PCIH Common Units
0.00
Class A Common Stock
159780988
I
By ITC Rumba, LLC
Common limited liability company units of Primary Care (ITC) Intermediate Holdings, LLC ("PCIH Common Units"), together with an equal number of shares of the Issuer's Class B Common Stock, par value $0.0001 per share, are exchangeable for either cash or shares of Class A Common Stock, par value $0.0001 per share, on a one-for-one basis from and after the one-year anniversary of the closing of the transactions contemplated by the Business Combination Agreement, dated as of November 11, 2020, by and among Jaws Acquisition Corp., Jaws Merger Sub, LLC, Primary Care (ITC) Intermediate Holdings, LLC ("PCIH") and PCIH's sole member, Primary Care (ITC) Holdings, LLC, subject to earlier termination upon the occurrence of certain events. The PCIH Common Units have no expiration date.
These securities are owned directly by ITC Rumba, LLC ("ITC Rumba"), a ten percent owner of the Issuer. Elliot Cooperstone is the founder and managing partner of ITC Rumba and therefore the beneficial owner of these securities.
/s/ Elliot Cooperstone
2021-06-14
/s/ Elliot Cooperstone, Managing Partner of ITC Rumba, LLC
2021-06-14