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