0001104659-21-129989.txt : 20211026 0001104659-21-129989.hdr.sgml : 20211026 20211026162544 ACCESSION NUMBER: 0001104659-21-129989 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: Lubbers Robert Mark CENTRAL INDEX KEY: 0001880812 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40788 FILM NUMBER: 211348897 MAIL ADDRESS: STREET 1: 8 THE GREEN STREET 2: SUITE #12081 CITY: DOVER STATE: DE ZIP: 19901 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 tm2131085-4_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-10-24 0 0001851182 Future Health ESG Corp. FHLT 0001880812 Lubbers Robert Mark C/O FUTURE HEALTH ESG CORP. 8 THE GREEN, SUITE #12081 DOVER DE 19901 1 0 0 0 Common stock, par value $0.0001 per share 2021-10-24 4 D 0 1688 0 D 11250 D Common stock, par value $0.0001 per share 2021-10-24 4 D 0 5631 0 D 37540 I See footnote On October 24, 2021, the Reporting Person forfeited 1,688 shares to the Issuer for no consideration in connection with the expiration of the underwriters' over-allotment option. Represents the Reporting Person's pecuniary interest in shares forfeited by Future Health ESG Associates 1, LLC to the Issuer on October 24, 2021 for no consideration in connection with the expiration of the underwriters' over-allotment option. The securities are held directly by Future Health ESG Associates 1, LLC. The Reporting Person disclaims beneficial ownership of the securities held by Future Health ESG Associates 1, LLC except to the extent of his pecuniary interest in the reported securities. /s/ Travis A. Morgan, as attorney-in-fact for R. Mark Lubbers 2021-10-26