0001104659-21-129990.txt : 20211026
0001104659-21-129990.hdr.sgml : 20211026
20211026162644
ACCESSION NUMBER: 0001104659-21-129990
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: Mills Francis John
CENTRAL INDEX KEY: 0001880350
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40788
FILM NUMBER: 211348908
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
tm2131085-5_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-10-24
0
0001851182
Future Health ESG Corp.
FHLT
0001880350
Mills Francis John
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 Report 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 F. John Mills
2021-10-26