0001104659-21-129982.txt : 20211026 0001104659-21-129982.hdr.sgml : 20211026 20211026162407 ACCESSION NUMBER: 0001104659-21-129982 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211024 FILED AS OF DATE: 20211026 DATE AS OF CHANGE: 20211026 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Future Health ESG Associates 1, LLC CENTRAL INDEX KEY: 0001854105 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40788 FILM NUMBER: 211348858 BUSINESS ADDRESS: STREET 1: 6100 TECHNOLOGY CENTER DR. CITY: INDIANAPOLIS STATE: IN ZIP: 46278 BUSINESS PHONE: 833-388-8734 MAIL ADDRESS: STREET 1: 6100 TECHNOLOGY CENTER DR. CITY: INDIANAPOLIS STATE: IN ZIP: 46278 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Future Health ESG Corp. CENTRAL INDEX KEY: 0001851182 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 862305680 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8 THE GREEN STREET 2: SUITE # 12081 CITY: DOVER STATE: DE ZIP: 19901 BUSINESS PHONE: 833-388-8734 MAIL ADDRESS: STREET 1: 8 THE GREEN STREET 2: SUITE # 12081 CITY: DOVER STATE: DE ZIP: 19901 4 1 tm2131085-1_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-10-24 0 0001851182 Future Health ESG Corp. FHLT 0001854105 Future Health ESG Associates 1, LLC C/O FUTURE HEALTH ESG CORP. 8 THE GREEN, SUITE #12081 DOVER DE 19901 0 0 1 0 Common stock, par value $0.0001 per share 2021-10-24 4 D 0 393750 0 D 2625000 D On October 24, 2021, the Reporting Person forfeited 393,750 shares to the Issuer for no consideration in connection with the expiration of the underwriters' over-allotment option. /s/ Travis A. Morgan, By: Travis A. Morgan, Manager 2021-10-26