0001104659-20-139758.txt : 20201228
0001104659-20-139758.hdr.sgml : 20201228
20201228161520
ACCESSION NUMBER: 0001104659-20-139758
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201228
FILED AS OF DATE: 20201228
DATE AS OF CHANGE: 20201228
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HAAC Sponsor, LLC
CENTRAL INDEX KEY: 0001831110
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39702
FILM NUMBER: 201418529
BUSINESS ADDRESS:
STREET 1: C/O GENERAL CATALYST
STREET 2: 20 UNIVERSITY ROAD, FOURTH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: 617-234-7000
MAIL ADDRESS:
STREET 1: C/O GENERAL CATALYST
STREET 2: 20 UNIVERSITY ROAD, FOURTH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Health Assurance Acquisition Corp.
CENTRAL INDEX KEY: 0001824013
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 20 UNIVERSITY ROAD, FOURTH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: 617-234-7000
MAIL ADDRESS:
STREET 1: 20 UNIVERSITY ROAD, FOURTH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
FORMER COMPANY:
FORMER CONFORMED NAME: Healthcare Assurance Acquisition Corp.
DATE OF NAME CHANGE: 20200909
4
1
tm2039376d1_4.xml
OWNERSHIP DOCUMENT
X0306
4
2020-12-28
0
0001824013
Health Assurance Acquisition Corp.
HAAC
0001831110
HAAC Sponsor, LLC
20 UNIVERSITY ROAD
CAMBRIDGE
MA
02138
0
0
1
0
Class B common stock
2020-12-28
4
D
0
250000
D
Class A common stock
250000
2311624
D
This Form 4 reflects the automatic surrender to the issuer of 250,000 of the issuer's shares of Class B common stock, par value $0.0001 per share, for no consideration by the reporting person as a result of HAAC Sponsor's ("Sponsor") participation in the issuer's initial public offering and in connection with the expiration of the underwriters' over-allotment option, as more fully described in the issuer's registration statement on Form S-1 (File No. 333- 249667).
As described in the issuer's registration statement on Form S-1 (File No. 333- 249667) under the heading "Description of Securities -- Alignment Shares", the shares of Class B common stock will convert into shares of Class A common stock, par value $0.0001, pursuant to the performance of publicly traded shares of Class A common stock of the issuer after the consummation of the issuer's initial business combination.
This Form 4 is being filed by the Sponsor. Sponsor is controlled by an affiliate of the Sponsor.
HAAC Sponsor, LLC, By: /s/ Evan Sotiriou, Chief Operating Officer
2020-12-28