FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 01/04/2021 |
3. Issuer Name and Ticker or Trading Symbol
Crucible Acquisition Corp [ CRU ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Class B common stock | (1) | (1) | Class A common stock | 6,368,750 | (1) | D(2) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. As described in the issuer's registration statement on Form S-1 (File No. 333-251495) under the heading "Description of Securities--Founder Shares," the Class B common stock of the issuer, par value $0.0001 per share, will automatically convert into Class A common stock of the issuer, par value $0.0001 per share, at the time of the issuer's initial business combination, or earlier at the option of the holder, on a one-for-one basis, subject to certain adjustments, and have no expiration date. |
2. Foundry Crucible I, LLC ("Sponsor") is the record holder of the shares of Class B common stock reported herein, which include 843,750 shares of Class B common stock that are subject to forfeiture to the extent that the underwriter of the issuer's public offering does not exercise its over-allotment option. Brad Feld is a managing member of FG Next GP 2018, LLC, a Delaware limited liability company ("GP"), which is the general partner of Foundry Group Next 2018, L.P., a Delaware limited partnership ("Fund"), which is the managing member of Sponsor. James M. Lejeal is a member of Sponsor. As a result of the foregoing, each of GP and Fund may be deemed to beneficially own shares held by Sponsor, but neither Mr. Feld nor Mr. Lejeal will be deemed to beneficially own shares held by Sponsor. Each of GP and Fund disclaims beneficial ownership of the shares held by Sponsor, except to the extent of such person's pecuniary interest therein. |
Remarks: |
Exhibit 24.1 - Power of Attorney. Mr. Feld serves as the Chairman of the board of directors of the issuer. On the basis of the relationship between Sponsor, Mr. Feld, GP and Fund, each of GP and Fund may be deemed a director by deputization with respect to the issuer for the purposes of Section 16 of the Securities Exchange Act of 1934, as amended. |
/s/ Jason M. Lynch, as attorney-in-fact for Foundry Crucible I, LLC | 01/04/2021 | |
/s/ Jason M. Lynch, as attorney-in-fact for FG Next GP 2018, LLC | 01/04/2021 | |
/s/ Jason M. Lynch, as attorney-in-fact for Foundry Group Next 2018, L.P. | 01/04/2021 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |