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