0001213900-21-009245.txt : 20210216
0001213900-21-009245.hdr.sgml : 20210216
20210216070257
ACCESSION NUMBER: 0001213900-21-009245
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201231
FILED AS OF DATE: 20210216
DATE AS OF CHANGE: 20210216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Poole Andrew J.
CENTRAL INDEX KEY: 0001732509
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39783
FILM NUMBER: 21632304
MAIL ADDRESS:
STREET 1: 3601 N. INTERSTATE 10 SERVICE RD. W.
CITY: METAIRIE
STATE: LA
ZIP: 70002
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Delwinds Insurance Acquisition Corp.
CENTRAL INDEX KEY: 0001812360
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 851050265
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: ONE CITY CENTRE
STREET 2: 1021 MAIN STREET, SUITE 1960
CITY: HOUSTON
STATE: TX
ZIP: 77002
BUSINESS PHONE: (713) 337-4077
MAIL ADDRESS:
STREET 1: ONE CITY CENTRE
STREET 2: 1021 MAIN STREET, SUITE 1960
CITY: HOUSTON
STATE: TX
ZIP: 77002
5
1
ownership.xml
X0306
5
2020-12-31
0
0
0
0001812360
Delwinds Insurance Acquisition Corp.
DWIN.U
0001732509
Poole Andrew J.
ONE CITY CENTRE
1021 MAIN STREET, SUITE 1960
HOUSTON
TX
77002
1
1
1
0
CEO and Chairman
Class A Common Stock
2020-12-15
5
P
0
656250
10.00
A
656250
I
see footnote
The record holder of the shares reported herein is DIAC Sponsor LLC (the "Sponsor"). The shares were purchased pursuant to that certain private placement unit purchase agreement, dated December 10, 2020, by and between the issuer and the Sponsor entered into in connection with the issuer's initial public offering. The reporting person, Chairman and Chief Executive Officer of the issuer, is the managing member of the Sponsor and has voting and investment discretion with respect to the securities held by the Sponsor. As such, the reporting person may be deemed to share beneficial ownership of the shares of Class A common stock held directly by the Sponsor. The reporting person disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest he may have therein, directly or indirectly.
/s/ Andrew Poole
2021-02-16