0001094891-15-000295.txt : 20151015 0001094891-15-000295.hdr.sgml : 20151015 20151015164412 ACCESSION NUMBER: 0001094891-15-000295 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151013 FILED AS OF DATE: 20151015 DATE AS OF CHANGE: 20151015 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Capitol Acquisition Corp. III CENTRAL INDEX KEY: 0001648955 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 474510443 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 509 7TH STREET, N.W. CITY: WASHINGTON STATE: DC ZIP: 20004 BUSINESS PHONE: 202-654-7060 MAIL ADDRESS: STREET 1: 509 7TH STREET, N.W. CITY: WASHINGTON STATE: DC ZIP: 20004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Capitol Acquisition Management 3 LLC CENTRAL INDEX KEY: 0001655485 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37588 FILM NUMBER: 151160444 BUSINESS ADDRESS: STREET 1: 509 7TH STREET, N.W. CITY: WASHINGTON STATE: DC ZIP: 20004 BUSINESS PHONE: 202-654-7060 MAIL ADDRESS: STREET 1: 509 7TH STREET, N.W. CITY: WASHINGTON STATE: DC ZIP: 20004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EIN MARK CENTRAL INDEX KEY: 0001246840 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37588 FILM NUMBER: 151160445 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2015-10-13 0001648955 Capitol Acquisition Corp. III CLAC 0001246840 EIN MARK C/O CAPITOL ACQUISITION CORP. III 509 7TH STREET, N.W. WASHINGTON DC 20004 1 1 1 0 Chairman and CEO 0001655485 Capitol Acquisition Management 3 LLC C/O CAPITOL ACQUISITION CORP. III 509 7TH STREET, N.W. WASHINGTON DC 20004 0 0 1 0 Common Stock 2015-10-13 4 J 0 1078125 D 6311250 I By Capitol Acquisition Management 3 LLC 1,078,125 shares were contributed back to the Issuer at no cost. Includes up to 843,750 shares of common stock which are subject to forfeiture to the extent that the underwriters' over-allotment option in the Issuer's initial public offering ("IPO") is not exercised in full or expires unexercised. Leland Investments, Inc., an entity controlled by Mr. Ein, is the sole member of Capitol Acquisition Management 3 LLC. /s/ Mark D. Ein 2015-10-15 /s/ Mark D. Ein, CEO 2015-10-15