0001104659-21-142580.txt : 20211122
0001104659-21-142580.hdr.sgml : 20211122
20211122170031
ACCESSION NUMBER: 0001104659-21-142580
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210614
FILED AS OF DATE: 20211122
DATE AS OF CHANGE: 20211122
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/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40418
FILM NUMBER: 211433320
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/A
1
tm2133668-1_4aseq1.xml
OWNERSHIP DOCUMENT
X0306
4/A
2021-06-14
2021-06-16
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
2021-06-14
4
P
0
2086
10
A
1543586
D
Common Stock
2021-06-14
4
J
0
83202
D
1460384
D
Rights to purchase Common Stock
0
2021-06-14
4
P
0
2086
A
Common Stock
208
112086
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.
On June 14, 2021, the underwriters of Mountain Crest Acquisition Corp III (the "Company") exercised the over-allotment option in part and canceled the remainder of the over-allotment option. In connection with the cancellation of the remainder of the over-allotment option, the Company has canceled an aggregate of 83,202 shares of common stock issued to Mountain Crest Holdings III LLC prior to its IPO and private placement.
This Form 4/A amends the Form 4 filed on June 16, 2021 to change the number of derivative securities beneficially owned following the reported transaction took place on June 14, 2021. Such change reflects the 110,000 rights that the reporting person previously acquired in a transaction that took place on May 20, 2021.
Mountain Crest Holdings III LLC By: /s/ Suying Liu, Title: Member
2021-11-22