0001104659-21-002164.txt : 20210107
0001104659-21-002164.hdr.sgml : 20210107
20210107212301
ACCESSION NUMBER: 0001104659-21-002164
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210105
FILED AS OF DATE: 20210107
DATE AS OF CHANGE: 20210107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kairos Alpha Acquisition LLC
CENTRAL INDEX KEY: 0001838069
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39841
FILM NUMBER: 21515415
BUSINESS ADDRESS:
STREET 1: 1345 AVENUE OF THE AMERICAS
STREET 2: 11TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10105
BUSINESS PHONE: 2123701300
MAIL ADDRESS:
STREET 1: 1345 AVENUE OF THE AMERICAS
STREET 2: 11TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10105
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
tm211735-3_3seq1.xml
OWNERSHIP DOCUMENT
X0206
3
2021-01-05
0
0001824171
Kairos Acquisition Corp.
KAIRU
0001838069
Kairos Alpha Acquisition LLC
C/O ELLENOFF GROSSMAN & SCHOLE LLP
1345 AVENUE OF THE AMERICAS, 11TH FLOOR
NEW YORK
NY
10105
0
0
1
0
Class B Ordinary Shares
Class A Ordinary Shares
2955106
D
As described in the registrant's registration statement on Form S-1 (File No. 333-251553) under the heading "Description of Securities - Founder Shares", the Class B ordinary shares will automatically convert into Class A ordinary shares at the time of the registrant's initial business combination on a one-for-one basis (unless otherwise provided in our initial business combination agreement), subject to adjustment for share subdivisions, share consolidations, share capitalizations, reorganizations, recapitalizations and the like, and certain anti-dilution rights and have no expiration date.
These shares represent 2,955,106 Class B ordinary shares held by Kairos Alpha Acquisition LLC (the "Sponsor") which were subject to share dividends. These shares include an aggregate of 285,212 shares that are subject to forfeiture to the extent that the underwriters do not exercise their overallotment option in connection with the registrant's initial public offering in full.
/s/ Peter Bang, as Managing Member of Kairos Alpha Acquisition LLC
2021-01-07