0001225208-21-013734.txt : 20211109
0001225208-21-013734.hdr.sgml : 20211109
20211109184228
ACCESSION NUMBER: 0001225208-21-013734
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211109
FILED AS OF DATE: 20211109
DATE AS OF CHANGE: 20211109
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DAVIS ALISON
CENTRAL INDEX KEY: 0001203539
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41050
FILM NUMBER: 211393682
MAIL ADDRESS:
STREET 1: 255 FISERV DRIVE
CITY: BROOKFIELD
STATE: WI
ZIP: 53045
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Blockchain Coinvestors Acquisition Corp. I
CENTRAL INDEX KEY: 0001873441
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 981607883
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: PO BOX 309
CITY: GRAND CAYMAN
STATE: E9
ZIP: KY1-1104
BUSINESS PHONE: 5037272059
MAIL ADDRESS:
STREET 1: 1120 NW COUCH STREET
STREET 2: 10TH FLOOR
CITY: PORTLAND
STATE: OR
ZIP: 97209
3
1
doc3.xml
X0206
3
2021-11-09
0
0001873441
Blockchain Coinvestors Acquisition Corp. I
BCSA
0001203539
DAVIS ALISON
P.O. BOX 1093, BOUNDRY HALL
CRICKET SQUARE
GRAND CAYMAN
E9
KY1-1102
CAYMAN ISLANDS
1
1
Managing Director
Class B Ordinary Shares
Class A Ordinary Shares
9583333.0000
I
By Blockchain Coinvestors Acquisition Sponsors I LLC
The shares of Class B ordinary shares, par value $0.00009 per share, of the issuer will automatically convert into shares of Class A ordinary shares, par value $0.0001 per share, of the issuer upon the consummation of the issuer's initial business combination as described in the issuer's registration statement on Form S-1 (File No. 333-259091) (the "Registration Statement") in the section entitled "Description of Securities-Founders Shares." The shares of Class B ordinary shares have no expiration date.
These shares represent Class B ordinary shares held by Blockchain Coinvestors Acquisition Sponsors I LLC (the "Sponsor") and include up to 1,250,000 shares of Class B ordinary shares that are subject to forfeiture depending on the extent to which the underwriters of the issuer's initial public offering exercise their over-allotment as described in the Registration Statement.
As a manager of the Sponsor, the reporting person may be deemed to share beneficial ownership of the shares of Class B ordinary shares held by the Sponsor. The reporting person disclaims any beneficial ownership of any shares held by the Sponsor except to the extent of her ultimate pecuniary interest.
/s/ Alison Davis
2021-11-09