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