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