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