0001829126-21-014400.txt : 20211116
0001829126-21-014400.hdr.sgml : 20211116
20211116194212
ACCESSION NUMBER: 0001829126-21-014400
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211116
FILED AS OF DATE: 20211116
DATE AS OF CHANGE: 20211116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Liu Suying
CENTRAL INDEX KEY: 0001811534
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41062
FILM NUMBER: 211417938
MAIL ADDRESS:
STREET 1: 311 WEST 43RD STREET, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Mountain Crest Acquisition Corp. V
CENTRAL INDEX KEY: 0001859035
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 311 WEST 43RD STREET, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
BUSINESS PHONE: 646-493-6558
MAIL ADDRESS:
STREET 1: 311 WEST 43RD STREET, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10036
4
1
ownership.xml
4
X0306
4
2021-11-16
0
0001859035
Mountain Crest Acquisition Corp. V
MCAGU
0001811534
Liu Suying
311 WEST 43RD STREET, 12TH FLOOR
NEW YORK
NY
10036
1
1
1
0
CEO and CFO
Common Stock
2021-11-16
4
P
0
205000
10
A
1922800
I
See Footnote
Rights to purchase Common Stock
0
2021-11-16
4
P
0
205000
A
Common Stock
20500
205000
I
See Footnote
The reporting person acquired units, consisting of shares and rights.
Shares owned by Mountain Crest Global Holdings LLC, over which Suying Liu owns sole voting and dispositive power.
The rights automatically convert into one-tenth (1/10) of a share of common stock upon the consummation of the registrant's initial business combination, as described in the registrant's prospectus filed with the SEC.
Rights underlying the units owned by Mountain Crest Global Holdings LLC, over which Suying Liu owns sole voting and dispositive power.
/s/ Suying Liu
2021-11-16