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