SEC Form 4 · accession 0001094891-17-000066
Capitol Acquisition Corp. III · CLAC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark Ein
Officer — Chairman and CEO · Director · 10% Owner
Period of report
Feb 7, 2017
Accepted (ET)
Feb 8, 2017 · 8:10 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001648955
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible Promissory NoteF3,F4,F1,F2 | $1.00 | Feb 7, 2017 | A | 312,955 | A | — | — | Warrants (right to buy) | 312,955 | 660,682 | I |
Explanation of responses
- F1The promissory note is convertible, at the Reporting Person's option, at the closing of the Issuer's initial business combination. If the Issuer fails to consummate an initial business combination by October 19, 2017, the Issuer will dissolve and the promissory note will not be convertible.
- F2Each warrant entitles the Reporting Person to purchase one share of common stock at a price of $11.50 per share. The warrants become exercisable 30 days after the completion of an initial business combination.
- F3The convertible promissory note was issued in consideration of a loan made by the Reporting Person in the same amount.
- F4Mr. Ein controls Capitol Acquisition Management 3 LLC.