0000899243-21-010548.txt : 20210308
0000899243-21-010548.hdr.sgml : 20210308
20210308214618
ACCESSION NUMBER: 0000899243-21-010548
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210308
FILED AS OF DATE: 20210308
DATE AS OF CHANGE: 20210308
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Independence Sponsor LLC
CENTRAL INDEX KEY: 0001837381
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40178
FILM NUMBER: 21723952
BUSINESS ADDRESS:
STREET 1: 277 PARK AVENUE
STREET 2: 29TH FLOOR, SUITE B
CITY: NEW YORK
STATE: NY
ZIP: 10172
BUSINESS PHONE: 2127043050
MAIL ADDRESS:
STREET 1: 277 PARK AVENUE
STREET 2: 29TH FLOOR, SUITE B
CITY: NEW YORK
STATE: NY
ZIP: 10172
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Independence Holdings Corp.
CENTRAL INDEX KEY: 0001837393
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 277 PARK AVENUE
STREET 2: 29TH FLOOR, SUITE B
CITY: NEW YORK
STATE: NY
ZIP: 10172
BUSINESS PHONE: 2127043050
MAIL ADDRESS:
STREET 1: 277 PARK AVENUE
STREET 2: 29TH FLOOR, SUITE B
CITY: NEW YORK
STATE: NY
ZIP: 10172
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-03-08
0
0001837393
Independence Holdings Corp.
ACQRU
0001837381
Independence Sponsor LLC
277 PARK AVENUE, 29TH FLOOR SUITE B
NEW YORK
NY
10172
0
0
1
0
Class B Ordinary Shares
Class A Ordinary Shares
12431250
D
As described in the issuer's registration statement on Form S-1 (File No. 333-253095) (the "Registration Statement") under the heading "Description of Securities - Founder Shares", Class B ordinary shares will automatically convert into Class A ordinary shares at the time of the issuer's initial business combination, on a one-for-one basis, subject to certain adjustments described therein, and have no expiration date.
The Class B ordinary shares held directly by Independence Sponsor LLC (the "Sponsor") were acquired pursuant to a subscription agreement by and between the Sponsor and the issuer. The Class B ordinary shares owned by the Sponsor include up to 1,631,250 shares that are subject to forfeiture in the event the underwriters of the issuer's initial public offering do not exercise in full their over-allotment option, as described in the Registration Statement.
Steven J. McLaughlin, the Co-Chairman of the issuer, and Eugene Yoon, the Co-Chairman of the issuer, are Co-Managing Members of the Sponsor. As such, each of Messrs. McLaughlin and Yoon may be deemed to have indirect beneficial ownership of Class B ordinary shares held directly by the sponsor. Messrs. McLaughlin and Yoon disclaim any beneficial ownership of the reported shares other than to the extent of any pecuniary interest they may have therein.
Independence Sponsor LLC, by George Barrios, its managing member, /s/ Steven J. McLaughlin, Steven J. McLaughlin
2021-03-08
Independence Sponsor LLC, by Michelle Wilson, its managing member, /s/ Eugene Yoon, Eugene Yoon
2021-03-08