0001104659-21-001199.txt : 20210105
0001104659-21-001199.hdr.sgml : 20210105
20210105215620
ACCESSION NUMBER: 0001104659-21-001199
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210105
FILED AS OF DATE: 20210105
DATE AS OF CHANGE: 20210105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Koehn Garrett
CENTRAL INDEX KEY: 0001816388
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39841
FILM NUMBER: 21508888
MAIL ADDRESS:
STREET 1: 50 WASHINGTON STREET SUITE 921
CITY: NORWALK
STATE: CT
ZIP: 06844
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Kairos Acquisition Corp.
CENTRAL INDEX KEY: 0001824171
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 50 WASHINGTON STREET
STREET 2: SUITE 921
CITY: NORWALK
STATE: CT
ZIP: 06854
BUSINESS PHONE: 9177834057
MAIL ADDRESS:
STREET 1: 50 WASHINGTON STREET
STREET 2: SUITE 921
CITY: NORWALK
STATE: CT
ZIP: 06854
3
1
tm211735d4_3seq1.xml
OWNERSHIP DOCUMENT
X0206
3
2021-01-05
1
0001824171
Kairos Acquisition Corp.
KAIRU
0001816388
Koehn Garrett
C/O ELLENOFF GROSSMAN & SCHOLE LLP
1345 AVENUE OF THE AMERICAS, 11TH FLOOR
NEW YORK
NY
10105
1
0
0
0
The reporting person has an indirect pecuniary interest in shares of Class B ordinary shares of the registrant through his membership interest in Kairos Alpha Acquisition LLC (the "Sponsor"), over which the reporting person does not have voting or dispositive control.
/s/ Garrett Koehn
2021-01-05