0000899243-21-031902.txt : 20210806 0000899243-21-031902.hdr.sgml : 20210806 20210806154759 ACCESSION NUMBER: 0000899243-21-031902 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210804 FILED AS OF DATE: 20210806 DATE AS OF CHANGE: 20210806 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PATTON WILLIAM B JR CENTRAL INDEX KEY: 0001215678 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39429 FILM NUMBER: 211152700 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Ardagh MP USA Inc. CENTRAL INDEX KEY: 0001816816 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 851653565 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8770 W. BRYN MAWR AVE. STREET 2: SUITE 800 CITY: CHICAGO STATE: IL ZIP: 60631 BUSINESS PHONE: (773) 399-3000 MAIL ADDRESS: STREET 1: 8770 W. BRYN MAWR AVE. STREET 2: SUITE 800 CITY: CHICAGO STATE: IL ZIP: 60631 FORMER COMPANY: FORMER CONFORMED NAME: Gores Holdings V Inc. DATE OF NAME CHANGE: 20200706 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-08-04 1 0001816816 Ardagh MP USA Inc. GRSV 0001215678 PATTON WILLIAM B JR C/O GORES SPONSOR V LLC 6260 LOOKOUT ROAD BOULDER CO 80301 1 0 0 0 Class A Common Stock, par value $0.0001 per share 2021-08-04 4 M 0 25000 0.00 A 25000 D Class A Common Stock, par value $0.0001 per share 2021-08-04 4 D 0 25000 0.00 D 0 D Class F Common Stock, par value $0.0001 per share 0.00 2021-08-04 4 M 0 25000 0.00 D Class A Common Stock, par value $0.0001 per share 25000 0 D The shares of Class F Common Stock of Gores Holdings V, Inc. (the "Issuer") converted into shares of Class A Common Stock of the Issuer on a one-for one basis upon the Issuer's consummation of its initial business combination (the "Business Combination") with Ardagh Metal Packaging S.A. ("AMPSA"). As a result of the Business Combination, each outstanding share of Class A Common Stock of the Issuer was converted into a share of AMPSA. /s/ Andrew McBride, Attorney-in-Fact 2021-08-06