0001104659-21-145066.txt : 20211130 0001104659-21-145066.hdr.sgml : 20211130 20211130182626 ACCESSION NUMBER: 0001104659-21-145066 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211130 FILED AS OF DATE: 20211130 DATE AS OF CHANGE: 20211130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gurewitz Aaron CENTRAL INDEX KEY: 0001810223 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41105 FILM NUMBER: 211460711 MAIL ADDRESS: STREET 1: 888 SAN CLEMENTE DRIVE STREET 2: SUITE 400 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Roth CH Acquisition V Co. CENTRAL INDEX KEY: 0001885998 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 861229207 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 888 SAN CLEMENTE DRIVE SUITE 400 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 9497205700 MAIL ADDRESS: STREET 1: 888 SAN CLEMENTE DRIVE SUITE 400 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 3 1 tm2134034d5_3seq1.xml OWNERSHIP DOCUMENT X0206 3 2021-11-30 0 0001885998 Roth CH Acquisition V Co. ROCLU 0001810223 Gurewitz Aaron C/O ROTH CH ACQUISITION V CO. 888 SAN CLEMENTE DRIVE, SUITE 400 NEWPORT BEACH CA 92660 0 1 0 0 Co-President Common Stock 110628 I See footnote Consists of shares owned by the AMG Trust Established January 23, 2007, for which Aaron Gurewitz is trustee. /s/ Aaron Gurewitz 2021-11-30