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