SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Cohen Sponsor Interests V, LLC

(Last) (First) (Middle)
C/O FINTECH ACQUISITION CORP. V
2929 ARCH STREET, SUITE 1703

(Street)
PHILADELPHIA PA 19104

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/03/2020
3. Issuer Name and Ticker or Trading Symbol
Fintech Acquisition Corp V [ FTCV ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 640,000(1) I By FinTech Investor Holdings V, LLC(6)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock (2) (2) Class A Common Stock 2,660,000 (2) I By FinTech Investor Holdings V, LLC(6)
Warrants (3) (4) Class A Common Stock 213,333(5) $11.5 I By FinTech Investor Holdings V, LLC(6)
Class B Common Stock (2) (2) Class A Common Stock 5,910,000(7) (2) I By FinTech Masala Advisors V, LLC(6)
1. Name and Address of Reporting Person*
Cohen Sponsor Interests V, LLC

(Last) (First) (Middle)
C/O FINTECH ACQUISITION CORP. V
2929 ARCH STREET, SUITE 1703

(Street)
PHILADELPHIA PA 19104

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
FinTech Masala, LLC

(Last) (First) (Middle)
3 COLUMBUS CIRCLE 24TH FL

(Street)
NEW YORK NY 10019

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
FinTech Masala Holdings, LLC

(Last) (First) (Middle)
3 COLUMBUS CIRCLE 24TH FL

(Street)
NEW YORK NY 10019

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. These shares underlie 640,000 units of the issuer that FinTech Investor Holdings V, LLC has irrevocably committed to purchase.
2. The shares of Class B common stock will automatically convert into shares of Class A common stock at the time of the issuer's initial business combination on a one-for-one basis, subject to certain adjustments described in the issuer's charter documents and have no expiration date.
3. The warrants will become exercisable at the later of 30 days after the consummation of the issuer's initial business combination or 12 months from the completion of the issuer's initial public offering.
4. The warrants will expire five years after the consummation of the issuer's initial business combination or earlier upon redemption of all of the issuer's outstanding common stock or the issuer's liquidation.
5. These warrants underlie 640,000 units of the issuer that FinTech Investor Holdings V, LLC has irrevocably committed to purchase.
6. These shares are held directly by the issuer's sponsors, FinTech Investor Holdings V, LLC and FinTech Masala Advisors V, LLC, each of which is managed by Cohen Sponsor Interests V, LLC. FinTech Masala, LLC is the sole member of Cohen Sponsor Interests V, LLC. FinTech Masala Holdings, LLC is the sole member of FinTech Masala, LLC. As a result, each of Cohen Sponsor Interests V, LLC, FinTech Masala, LLC and FinTech Masala Holdings, LLC shares voting and investment power over the issuer's shares held directly by FinTech Investor Holdings V, LLC and FinTech Masala Advisors V, LLC.
7. These shares represent Class B common stock held by the reporting person acquired pursuant to a securities assignment agreement by and between the reporting person and FinTech Investor Holdings V, LLC. The shares of Class B common stock owned by the reporting person include up to 1,090,000 shares that are subject to forfeiture in the event the underwriters of the issuer's initial public offering do not exercise in full their over-allotment option.
/s/ Daniel G. Cohen, President of FinTech Masala, LLC, sole member of Cohen Sponsor Interests V, LLC 12/03/2020
/s/ Daniel G. Cohen, President of FinTech Masala, LLC 12/03/2020
s/ Daniel G. Cohen, President of FinTech Masala Holdings, LLC 12/03/2020
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
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