0001104659-21-071168.txt : 20210524
0001104659-21-071168.hdr.sgml : 20210524
20210524160910
ACCESSION NUMBER: 0001104659-21-071168
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210520
FILED AS OF DATE: 20210524
DATE AS OF CHANGE: 20210524
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mountain Crest Holdings III LLC
CENTRAL INDEX KEY: 0001853772
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40418
FILM NUMBER: 21954919
BUSINESS ADDRESS:
STREET 1: 311 WEST 43RD STREET, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
BUSINESS PHONE: 646-493-6558
MAIL ADDRESS:
STREET 1: 311 WEST 43RD STREET, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Mountain Crest Acquisition Corp. III
CENTRAL INDEX KEY: 0001853775
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 311 WEST 43RD STREET, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
BUSINESS PHONE: 646-493-6558
MAIL ADDRESS:
STREET 1: 311 WEST 43RD STREET, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
4
1
tm2117401-1_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-05-20
0
0001853775
Mountain Crest Acquisition Corp. III
MCAEU
0001853772
Mountain Crest Holdings III LLC
311 WEST 43RD STREET, 12TH FLOOR
NEW YORK
NY
10036
0
0
1
0
Common Stock
2021-05-20
4
P
0
110000
10
A
1541500
D
Rights to purchase Common Stock
0
2021-05-20
4
P
0
110000
A
Common Stock
11000
110000
D
The reporting person acquired units, consisting of shares and rights.
The rights automatically convert into one-tenth (1/10) of a share of common stock upon the consummation of the registrant's initial business combination, as described in the registrant's prospectus filed with the SEC.
Mountain Crest Holdings III LLC, By: /s/ Suying Liu, Title: Member
2021-05-24