0001209191-21-043794.txt : 20210629
0001209191-21-043794.hdr.sgml : 20210629
20210629192516
ACCESSION NUMBER: 0001209191-21-043794
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20210629
FILED AS OF DATE: 20210629
DATE AS OF CHANGE: 20210629
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Katz Shoney
CENTRAL INDEX KEY: 0001854438
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40560
FILM NUMBER: 211059724
MAIL ADDRESS:
STREET 1: 22 CORNELIA DRIVE
CITY: GREENWICH
STATE: CT
ZIP: 06830
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Social Capital Suvretta Holdings Corp. III
CENTRAL INDEX KEY: 0001850270
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 981586514
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2850 W. HORIZON RIDGE PARKWAY
STREET 2: SUITE 200
CITY: HENDERSON
STATE: NV
ZIP: 89052
BUSINESS PHONE: (650) 521-9007
MAIL ADDRESS:
STREET 1: 2850 W. HORIZON RIDGE PARKWAY
STREET 2: SUITE 200
CITY: HENDERSON
STATE: NV
ZIP: 89052
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-06-29
1
0001850270
Social Capital Suvretta Holdings Corp. III
DNAC
0001854438
Katz Shoney
SOCIAL CAPITAL SUVRETTA HLDNGS CORP III
2850 W HORIZON RIDGE PARKWAY, STE 200
HENDERSON
NV
89052
0
1
0
0
Director of Research
Exhibit 24.1 - Power of Attorney.
No securities are beneficially owned.
/s/ James Ryans, as attorney-in-fact
2021-06-29
EX-24.3_996152
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
For Executing Forms 3, 4 and 5
KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and appoints
each of Chamath Palihapitiya, Kishan Mehta and James Ryans, or any of them, each
acting alone, his or her true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned a Form 3, Form 4 or Form 5, or
any amendment thereto, relating to the securities of Social Capital Suvretta
Holdings Corp. III, in accordance with Section 16(a) of the Securities Exchange
Act of 1934 and the rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute such Form 3, Form 4 or
Form 5, or any amendment thereto, and the timely filing of such form with the
United States Securities and Exchange Commission and any other authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary and proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as such undersigned might
or could do if personally present, hereby ratifying and confirming all that such
attorney-in-fact shall lawfully do or cause to be done by virtue of this Power
of Attorney and the rights and powers herein granted. The undersigned
acknowledges that each of the foregoing attorneys-in-fact, in serving in such
capacity at the request of the undersigned, is not assuming any of the
undersigned's responsibilities to comply with Section 16 of the Securities
Exchange Act of 1934. This Power of Attorney shall remain in full force and
effect until the undersigned is no longer required to file Forms 3, 4 and 5 with
respect to the undersigned's holdings of and transactions in securities issued
by Social Capital Suvretta Holdings Corp. III unless earlier revoked by the
undersigned in a signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 28th day of June, 2021.
By: /s/ Shoney Katz
Name: Shoney Katz