12/12/2024 | Press release | Distributed by Public on 12/12/2024 16:27
FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Private Placement Units | (3) | 12/10/2024 | D | 648,055 | (3) | (3) | Class A Common Stock | 648,055 | (4) | 0 (4) | I | See footnote(5) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Simanson Gary A 9912 GEORGETOWN PIKE SUITE D203 GREAT FALLS, VA 22066 |
X | X | President and CEO | |
TBCP IV, LLC 9912 GEORGETOWN PIKE SUITE D203 GREAT FALLS, VA 22066 |
X |
/s/ Gary A. Simanson Gary A. Simanson | 12/12/2024 |
**Signature of Reporting Person | Date |
/s/ Gary A. Simanson, Gary A. Simanson, Managing Member of TBCP IV, LLC | 12/12/2024 |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Pursuant to the Business Combination Agreement, dated March 22, 2022, as amended, by and among the Issuer, Coincheck Group B.V., a Dutch private limited liability company (besloten vennootschap met beperkte aansprakelijkheid) ("PubCo") (which was converted into a Dutch public limited liability company (naamloze vennootschap) and renamed Coincheck Group N.V. immediately prior to the Business Combination), M1 Co G.K., a Japanese limited liability company (godo kaisha) ("HoldCo"), Coincheck Merger Sub, Inc., a Delaware corporation ("Merger Sub"), and Coincheck, Inc., a Japanese joint stock company (kabushiki kaisha) ("Coincheck") on December 10, 2024, Merger Sub merged with and into the Issuer, with the Issuer surviving as a wholly-owned subsidiary of PubCo. As a result of the Business Combination, each issued and outstanding share of Class A common stock of the Issuer was exchanged for an ordinary share of PubCo. |
(2) | Includes 648,055 shares of Class A common stock underlying Private Placement Units held by TBCP IV, LLC (the "Sponsor"). |
(3) | Each Private Placement Unit consists of one share of Class A common stock and one-fifth of one warrant, each whole warrant exercisable to purchase one share of Class A common stock. As described in the Issuer's Registration Statement on Form S-1 (File No. 333-254359) filed with the Securities and Exchange Commission on March 16, 2021 (the "Registration Statement"). |
(4) | The reporting persons disposed of all Private Placement Units upon the consummation of the Issuer's Business Combination, which were automatically separated and exchanged into one ordinary share of PubCo and one-fifth of one warrant, each whole warrant exercisable to purchase one ordinary share of PubCo. |
(5) | The Sponsor is the record holder of the securities reported herein. Mr. Simanson, the President and Chief Executive Officer of the Issuer, is the managing member of the Sponsor and has sole voting and investment discretion with respect to the common stock held of record by the Sponsor. By virtue of this relationship, Mr. Simanson may be deemed to have beneficial ownership of the securities held of record by the Sponsor. Each such person disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest they may have therein, directly or indirectly. |