0000899243-21-010413.txt : 20210308 0000899243-21-010413.hdr.sgml : 20210308 20210308171820 ACCESSION NUMBER: 0000899243-21-010413 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210308 FILED AS OF DATE: 20210308 DATE AS OF CHANGE: 20210308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SAVAGE ROBERT F JR CENTRAL INDEX KEY: 0001198067 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39602 FILM NUMBER: 21722951 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELTER JEFFREY E CENTRAL INDEX KEY: 0001198068 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39602 FILM NUMBER: 21722952 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KSH Capital LP CENTRAL INDEX KEY: 0001827310 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39602 FILM NUMBER: 21722953 BUSINESS ADDRESS: STREET 1: 386 PARK AVENUE SOUTH, FL 20 CITY: NEW YORK STATE: NY ZIP: 10016 BUSINESS PHONE: 212-710-5060 MAIL ADDRESS: STREET 1: 386 PARK AVENUE SOUTH, FL 20 CITY: NEW YORK STATE: NY ZIP: 10016 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JCIC Sponsor LLC CENTRAL INDEX KEY: 0001822261 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39602 FILM NUMBER: 21722954 BUSINESS ADDRESS: STREET 1: 386 PARK AVENUE SOUTH, FL 20 CITY: NEW YORK STATE: NY ZIP: 10016 BUSINESS PHONE: 212-710-5060 MAIL ADDRESS: STREET 1: 386 PARK AVENUE SOUTH, FL 20 CITY: NEW YORK STATE: NY ZIP: 10016 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JERMOLUK THOMAS CENTRAL INDEX KEY: 0001823753 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39602 FILM NUMBER: 21722950 MAIL ADDRESS: STREET 1: 386 PARK AVENUE SOUTH, FL 20 CITY: NEW YORK STATE: NY ZIP: 10016 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Jack Creek Investment Corp. CENTRAL INDEX KEY: 0001822312 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 000000000 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 386 PARK AVENUE SOUTH, FL 20 CITY: NEW YORK STATE: NY ZIP: 10016 BUSINESS PHONE: 212-710-5060 MAIL ADDRESS: STREET 1: 386 PARK AVENUE SOUTH, FL 20 CITY: NEW YORK STATE: NY ZIP: 10016 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-03-08 0 0001822312 Jack Creek Investment Corp. JCIC 0001822261 JCIC Sponsor LLC C/O JACK CREEK INVESTMENT CORP., 386 PARK AVENUE SOUTH, FL 20 NEW YORK NY 10016 0 0 1 0 0001827310 KSH Capital LP C/O JACK CREEK INVESTMENT CORP., 386 PARK AVENUE SOUTH, FL 20 NEW YORK NY 10016 0 0 0 1 Manager 0001198068 KELTER JEFFREY E C/O JACK CREEK INVESTMENT CORP., 386 PARK AVENUE SOUTH, FL 20 NEW YORK NY 10016 1 0 0 0 0001198067 SAVAGE ROBERT F JR C/O JACK CREEK INVESTMENT CORP., 386 PARK AVENUE SOUTH, FL 20 NEW YORK NY 10016 0 1 0 0 Chief Executive Officer 0001823753 JERMOLUK THOMAS C/O JACK CREEK INVESTMENT CORP., 386 PARK AVENUE SOUTH, FL 20 NEW YORK NY 10016 1 0 0 0 Class B Ordinary Shares, par value $0.0001 per share 2021-03-08 4 S 0 25000 0.0029 D Class A Ordinary Shares, par value $0.0001 per share 25000 8550000 I See footnotes This form is being filed by the following Reporting Persons: JCIC Sponsor LLC (the "Sponsor"), KSH Capital LP ("KSH Capital"), Jeffrey E. Kelter, Robert F. Savage and Thomas Jermoluk. Because of the relationships among the Reporting Persons, the Reporting Persons may be deemed to beneficially own the securities reported herein to the extent of their respective pecuniary interests. Each Reporting Person disclaims beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's pecuniary interest therein, if any. Sponsor sold 25,000 shares of Class B ordinary shares, par value $0.0001 per share (the "Class B Ordinary Shares") for the aggregate consideration of $72.46. Class B Ordinary Shares have no expiration date and are convertible into Class A ordinary shares, par value $0.0001 per share, of the Issuer, as described under the heading "Description of Securities-founder shares" in the Issuer's registration statement on Form S-1 (File No. 333-248951). The manager of the Sponsor is KSH Capital. Each of Jeffrey E. Kelter, Robert F. Savage and Thomas Jermoluk indirectly own an approximately 30% interest in Sponsor and, pursuant to the Sponsor's operating agreement, through their investment vehicles have a consent right over the Sponsor's investments, including voting and investment discretion with respect to the Class B Ordinary Shares held of record by the Sponsor. Pursuant to Rule 16a-1(a)(4) under the Exchange Act, this filing shall not be deemed an admission that the Reporting Persons are, for purposes of Section 16 of the Exchange Act or otherwise, the beneficial owners of any equity securities in excess of their respective pecuniary interests. /s/ Robert Savage, JCIC Sponsor LLC, By its Manager, KSH CAPITAL LP, Acting by its General Partner, KSH CAPITAL GP LLC, Robert Savage, President 2021-03-08 * KSH Capital LP 2021-03-08 * Jeffrey E. Kelter 2021-03-08 * Robert F. Savage 2021-03-08 * Thomas Jermoluk 2021-03-08 *By: /s/ Lauren Ores, Attorney-in-Fact 2021-03-08