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