0001094891-17-000063.txt : 20170208 0001094891-17-000063.hdr.sgml : 20170208 20170208160316 ACCESSION NUMBER: 0001094891-17-000063 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170207 FILED AS OF DATE: 20170208 DATE AS OF CHANGE: 20170208 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: Donaldson Richard C CENTRAL INDEX KEY: 0001416656 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37588 FILM NUMBER: 17582526 MAIL ADDRESS: STREET 1: C/O CAPITOL ACQUISITION CORP. STREET 2: 509 7TH STREET, N.W. CITY: WASHINGTON STATE: DC ZIP: 20004 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-02-07 0001648955 Capitol Acquisition Corp. III CLAC 0001416656 Donaldson Richard C C/O CAPITOL ACQUISITION CORP. III 509 7TH STREET, N.W. WASHINGTON DC 20004 1 0 0 0 Convertible Promissory Note 1.00 2017-02-07 4 A 0 10909 A Warrants (right to buy) 10909 23030 D The promissory note is convertible, at the Reporting Person's option, at the closing of the Issuer's initial business combination. If the Issuer fails to consummate an initial business combination by October 19, 2017, the Issuer will dissolve and the promissory note will not be convertible. Each warrant entitles the Reporting Person to purchase one share of common stock at a price of $11.50 per share. The warrants become exercisable 30 days after the completion of an initial business combination. The convertible promissory note was issued in consideration of a loan made by the Reporting Person in the same amount. /s/ Richard C. Donaldson 2017-02-08