0000899243-23-011065.txt : 20230410 0000899243-23-011065.hdr.sgml : 20230410 20230410182839 ACCESSION NUMBER: 0000899243-23-011065 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230410 FILED AS OF DATE: 20230410 DATE AS OF CHANGE: 20230410 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Black Mountain Sponsor LLC CENTRAL INDEX KEY: 0001848019 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40907 FILM NUMBER: 23812030 BUSINESS ADDRESS: STREET 1: 425 HOUSTON STREET STREET 2: SUITE 400 CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: (817) 698-9901 MAIL ADDRESS: STREET 1: 425 HOUSTON STREET STREET 2: SUITE 400 CITY: FORT WORTH STATE: TX ZIP: 76102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Black Mountain Acquisition Corp. CENTRAL INDEX KEY: 0001848020 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 862013849 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 425 HOUSTON STREET STREET 2: SUITE 400 CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: (817) 698-9901 MAIL ADDRESS: STREET 1: 425 HOUSTON STREET STREET 2: SUITE 400 CITY: FORT WORTH STATE: TX ZIP: 76102 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-04-10 0 0001848020 Black Mountain Acquisition Corp. BMAC 0001848019 Black Mountain Sponsor LLC 425 HOUSTON STREET, SUITE 400 FORT WORTH TX 76102 0 0 1 0 0 Class A Common Stock 2023-04-10 4 C 0 6810000 A 6810000 D Class B Common Stock 2023-04-10 4 C 0 6810000 D Class A Common Stock 6810000 0 D In accordance with the amended and restated certificate of incorporation of Black Mountain Acquisition Corp. ("BMAC"), the Reporting Person elected to convert its shares of Class B Common Stock into shares of Class A Common Stock on a one-for-one basis. The total shares reported includes 1,150,000 shares of Class B Common Stock issued to the Reporting Person as a result of a stock dividend of the shares of Class B Common Stock by BMAC in connection with BMAC's initial public offering which, as a result of a clerical error, were not previously included on the Reporting Person's Form 3 filed on October 13, 2021. The shares of Class B Common Stock were (i) convertible into shares of Class A Common Stock at the Reporting Person's election on a one-for-one basis and (ii) automatically convertible into shares of Class A Common Stock at the time of the closing of BMAC's initial business combination on a one-for-one basis, subject to adjustment pursuant to certain anti-dilution rights (which rights were waived by the Reporting Person in connection with BMAC's proposed business combination), and had no expiration date. /s/ Rhett Bennett, Chief Executive Officer and Sole Manager 2023-04-10