0001104659-20-122062.txt : 20201105
0001104659-20-122062.hdr.sgml : 20201105
20201105214931
ACCESSION NUMBER: 0001104659-20-122062
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201105
FILED AS OF DATE: 20201105
DATE AS OF CHANGE: 20201105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Doll Dixon R Jr.
CENTRAL INDEX KEY: 0001587473
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39687
FILM NUMBER: 201292248
MAIL ADDRESS:
STREET 1: 4555 GREAT AMERICA PARKWAY
CITY: SANTA CLARA
STATE: CA
ZIP: 95054
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Roman DBDR Tech Acquisition Corp.
CENTRAL INDEX KEY: 0001823144
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 852749902
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 345 LORTON AVENUE, SUITE 400
CITY: BURLINGAME
STATE: CA
ZIP: 94010
BUSINESS PHONE: 650-618-2524
MAIL ADDRESS:
STREET 1: 345 LORTON AVENUE, SUITE 400
CITY: BURLINGAME
STATE: CA
ZIP: 94010
3
1
tm2035110-5_3.xml
OWNERSHIP DOCUMENT
X0206
3
2020-11-05
0
0001823144
Roman DBDR Tech Acquisition Corp.
DBDRU
0001587473
Doll Dixon R Jr.
C/O ROMAN DBDR TECH ACQUISITION CORP.
345 LORTON AVENUE, SUITE 400
BURLINGAME
CA
94010
0
1
1
0
Co-Chief Executive Officer
Class B Common Stock
Class A Common Stock
6325000
I
See Footnote
As described in the registrant's registration statement on Form S-1 (File No. 333-249330) (the "Registration Statement") under the heading "Description of Securities--Founder Shares," the shares of Class B common stock, par value $0.0001 per share, will automatically convert into shares of Class A common stock, par value $0.0001 per share, at the time of the registrant's initial business combination, on a one-for-one basis, subject to certain adjustments described therein and have no expiration date.
These shares represent Class B common stock held by Roman DBDR Tech Sponsor LLC (the "Sponsor") acquired pursuant to a subscription agreement by and between the Sponsor and the registrant. The Class B common stock owned by the Sponsor includes up to 825,000 shares that are subject to forfeiture in the event the underwriters of the registrant's initial public offering do not exercise their over-allotment option in full as described in the Registration Statement.
As a managing member of the Sponsor, the reporting person may be deemed to share beneficial ownership of the shares of Class B common stock held directly by the Sponsor, and disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest he may have therein, directly or indirectly.
/s/ Dixon Doll, Jr.
2020-11-05