0001628280-22-000140.txt : 20220104
0001628280-22-000140.hdr.sgml : 20220104
20220104081320
ACCESSION NUMBER: 0001628280-22-000140
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211230
FILED AS OF DATE: 20220104
DATE AS OF CHANGE: 20220104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dee Michael E
CENTRAL INDEX KEY: 0001756027
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40234
FILM NUMBER: 22504139
MAIL ADDRESS:
STREET 1: 118 VINTAGE PARK BLVD
CITY: HOUSTON
STATE: TX
ZIP: 77070
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PureCycle Technologies, Inc.
CENTRAL INDEX KEY: 0001830033
STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS, MATERIALS, SYNTH RESINS & NONVULCAN ELASTOMERS [2821]
IRS NUMBER: 000000000
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5950 HAZELTINE NATIONAL DRIVE, SUITE 650
CITY: ORLANDO
STATE: FL
ZIP: 32822
BUSINESS PHONE: 877-648-3565
MAIL ADDRESS:
STREET 1: 5950 HAZELTINE NATIONAL DRIVE, SUITE 650
CITY: ORLANDO
STATE: FL
ZIP: 32822
FORMER COMPANY:
FORMER CONFORMED NAME: Roth CH Acquisition I Co. Parent Corp.
DATE OF NAME CHANGE: 20201026
4
1
wf-form4_164130198648365.xml
FORM 4
X0306
4
2021-12-30
1
0001830033
PureCycle Technologies, Inc.
PCT
0001756027
Dee Michael E
C/O PURECYCLE TECHNOLOGIES, INC.
5950 HAZELTINE NATIONAL DRIVE, SUITE 650
ORLANDO
FL
32822
0
0
0
1
Former Chief Financial Officer
Common Stock
2021-12-30
5
G
0
E
13000
0
D
881611.995
D
Common Stock
2021-12-30
5
G
0
E
3000
0
A
3000
I
Matthew Edward Dee 2015 Trust
Common Stock
2021-12-30
5
G
0
E
3000
0
A
3000
I
Christopher Michael Dee 2015 Trust
Common Stock
2021-12-30
5
G
0
E
3000
0
A
3000
I
David Roney Dee 2016 Trust
Common Stock
2021-12-30
5
G
0
E
3000
0
A
3000
I
Diana Bao Wen Dee 2020 Trust
The reporting person gifted 1,000 shares of the Company's common stock to Veeranun Rungamornchai.
The reporting person transferred 3,000 shares of the Company's common stock into each of four separate trusts of which the reporting person's spouse is the sole trustee. Members of the reporting person's immediate family are the sole beneficiaries of each of the respective trusts. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
/s/ Brad S. Kalter, as Attorney-in-Fact for Michael E. Dee
2022-01-04