0001104659-21-145077.txt : 20211130 0001104659-21-145077.hdr.sgml : 20211130 20211130183026 ACCESSION NUMBER: 0001104659-21-145077 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211130 FILED AS OF DATE: 20211130 DATE AS OF CHANGE: 20211130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHLM Sponsor-5 LLC CENTRAL INDEX KEY: 0001888561 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41105 FILM NUMBER: 211460739 BUSINESS ADDRESS: STREET 1: 888 SAN CLEMENTE DRIVE SUITE 400 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 9497205700 MAIL ADDRESS: STREET 1: 888 SAN CLEMENTE DRIVE SUITE 400 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Roth CH Acquisition V Co. CENTRAL INDEX KEY: 0001885998 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 861229207 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 888 SAN CLEMENTE DRIVE SUITE 400 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 9497205700 MAIL ADDRESS: STREET 1: 888 SAN CLEMENTE DRIVE SUITE 400 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 3 1 tm2134034d14_3seq1.xml OWNERSHIP DOCUMENT X0206 3 2021-11-30 0 0001885998 Roth CH Acquisition V Co. ROCLU 0001888561 CHLM Sponsor-5 LLC 222 SOUTH NINTH STREET, SUITE 350 MINNEAPOLIS MN 55402 0 0 1 0 Common Stock 690285 D /s/ Steve Dyer, CEO 2021-11-30