0001793229-21-000068.txt : 20210806
0001793229-21-000068.hdr.sgml : 20210806
20210806164401
ACCESSION NUMBER: 0001793229-21-000068
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210804
FILED AS OF DATE: 20210806
DATE AS OF CHANGE: 20210806
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tabak Mark
CENTRAL INDEX KEY: 0001827273
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39228
FILM NUMBER: 211153496
MAIL ADDRESS:
STREET 1: 115 FIFTH AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10003
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MultiPlan Corp
CENTRAL INDEX KEY: 0001793229
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 843536151
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 115 FIFTH AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10003
BUSINESS PHONE: (212) 780-2000
MAIL ADDRESS:
STREET 1: 115 FIFTH AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10003
FORMER COMPANY:
FORMER CONFORMED NAME: Churchill Capital Corp III
DATE OF NAME CHANGE: 20200127
FORMER COMPANY:
FORMER CONFORMED NAME: Butler Acquisition Corp
DATE OF NAME CHANGE: 20191105
4
1
wf-form4_162828261908708.xml
FORM 4
X0306
4
2021-08-04
0
0001793229
MultiPlan Corp
MPLN
0001827273
Tabak Mark
C/O MULTIPLAN CORPORATION
115 FIFTH AVENUE
NEW YORK
NY
10003
1
1
0
0
Chief Executive Officer
Class A common stock
2021-08-04
4
F
0
15784
7.72
D
5542584
D
Class A common stock
4433296
I
See Footnote
Class A common stock
4433296
I
See Footnote
Represents shares withheld to pay taxes applicable to vesting of restricted stock units.
Reflects securities directly held by the Lindsay Levin 2012 Dynasty Trust, dated July 11, 2012.
Reflects securities directly held by the Lauren Fass 2012 Dynasty Trust, dated July 11, 2012.
The Reporting Person states that this filing shall not be an admission that the Reporting Person is the beneficial owner of any of the securities reported herein as indirectly owned, and the Reporting Person disclaims beneficial ownership of such securities except to the extent of the Reporting Person's pecuniary interest therein.
/s/ Jeffrey Doctoroff, attorney-in-fact
2021-08-06