SEC Form 4 · accession 0001213900-17-006860
FORUM MARKETS Inc · FRMM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Marlene Krauss
Officer — Chief Executive Officer · Director · 10% Owner
KBL IV SPONSOR LLC
10% Owner
Period of report
Jun 23, 2017
Accepted (ET)
Jun 27, 2017 · 4:23 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001690080
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3 | Jun 23, 2017 | P | 27,500 | $10.00 | A | 3,252,500 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares are underlying units (each unit consisting of one share of common stock, one right entitling the holder thereof to receive one-tenth (1/10) of one share of common stock upon the consummation of an initial business combination and one warrant to purchase one-half of one share of common stock) held by KBL IV Sponsor LLC (the "Sponsor"), acquired pursuant to a third amended and restated unit purchase agreement by and between the Sponsor and the issuer.
- F2Such units were purchased upon the exercise of the underwriters' over-allotment option in connection with the issuer's initial public offering.
- F3Each of the issuer's officers and directors is a member of the Sponsor. Dr. Marlene Krauss, the issuer's Chief Executive Officer, is the sole managing member of the Sponsor. Consequently, she may be deemed the beneficial owner of the shares of common stock held by the Sponsor and has sole voting and dispositive control over such securities. Dr. Krauss disclaims beneficial ownership over any securities owned by the Sponsor in which she does not have a pecuniary interest.