0001213900-21-009245.txt : 20210216 0001213900-21-009245.hdr.sgml : 20210216 20210216070257 ACCESSION NUMBER: 0001213900-21-009245 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210216 DATE AS OF CHANGE: 20210216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Poole Andrew J. CENTRAL INDEX KEY: 0001732509 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39783 FILM NUMBER: 21632304 MAIL ADDRESS: STREET 1: 3601 N. INTERSTATE 10 SERVICE RD. W. CITY: METAIRIE STATE: LA ZIP: 70002 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Delwinds Insurance Acquisition Corp. CENTRAL INDEX KEY: 0001812360 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 851050265 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE CITY CENTRE STREET 2: 1021 MAIN STREET, SUITE 1960 CITY: HOUSTON STATE: TX ZIP: 77002 BUSINESS PHONE: (713) 337-4077 MAIL ADDRESS: STREET 1: ONE CITY CENTRE STREET 2: 1021 MAIN STREET, SUITE 1960 CITY: HOUSTON STATE: TX ZIP: 77002 5 1 ownership.xml X0306 5 2020-12-31 0 0 0 0001812360 Delwinds Insurance Acquisition Corp. DWIN.U 0001732509 Poole Andrew J. ONE CITY CENTRE 1021 MAIN STREET, SUITE 1960 HOUSTON TX 77002 1 1 1 0 CEO and Chairman Class A Common Stock 2020-12-15 5 P 0 656250 10.00 A 656250 I see footnote The record holder of the shares reported herein is DIAC Sponsor LLC (the "Sponsor"). The shares were purchased pursuant to that certain private placement unit purchase agreement, dated December 10, 2020, by and between the issuer and the Sponsor entered into in connection with the issuer's initial public offering. The reporting person, Chairman and Chief Executive Officer of the issuer, is the managing member of the Sponsor and has voting and investment discretion with respect to the securities held by the Sponsor. As such, the reporting person may be deemed to share beneficial ownership of the shares of Class A common stock held directly by the Sponsor. The reporting person disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest he may have therein, directly or indirectly. /s/ Andrew Poole 2021-02-16