0001104659-21-002168.txt : 20210107 0001104659-21-002168.hdr.sgml : 20210107 20210107212425 ACCESSION NUMBER: 0001104659-21-002168 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: HS Chronos LLC CENTRAL INDEX KEY: 0001835575 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39841 FILM NUMBER: 21515419 BUSINESS ADDRESS: STREET 1: 2187 ATLANTIC STREET, FOURTH FLOOR CITY: STAMFORD STATE: CT ZIP: 06902 BUSINESS PHONE: 2039754859 MAIL ADDRESS: STREET 1: 2187 ATLANTIC STREET, FOURTH FLOOR CITY: STAMFORD STATE: CT ZIP: 06902 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 tm211843-3_3.xml OWNERSHIP DOCUMENT X0206 3 2021-01-05 0 0001824171 Kairos Acquisition Corp. KAIRU 0001835575 HS Chronos LLC C/O HUDSON STRUCTURED CAPITAL MGMT LTD. 2187 ATLANTIC STREET - 4TH FLOOR STAMFORD CT 06902 0 0 1 0 Class B Ordinary Shares Class A Ordinary Shares 3944894 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 the 3,944,894 Class B ordinary shares held by HS Chronos LLC, which were subject to share dividends. These shares include an aggregate of 614,788 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/ Michael Millette, as the Managing Partner of HS Chronos LLC 2021-01-07