0000899243-23-002002.txt : 20230118 0000899243-23-002002.hdr.sgml : 20230118 20230118161513 ACCESSION NUMBER: 0000899243-23-002002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230117 FILED AS OF DATE: 20230118 DATE AS OF CHANGE: 20230118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tepper Jeffrey CENTRAL INDEX KEY: 0001665610 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40731 FILM NUMBER: 23534572 MAIL ADDRESS: STREET 1: 1001 SEVENTEENTH STREET, SUITE 1800 STREET 2: C/O RIVERSTONE EQUITY CITY: DENVER STATE: CO ZIP: 80202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Decarbonization Plus Acquisition Corp IV CENTRAL INDEX KEY: 0001848959 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 000000000 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2744 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (212) 993-0076 MAIL ADDRESS: STREET 1: 2744 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2023-01-17 1 0001848959 Decarbonization Plus Acquisition Corp IV DCRD 0001665610 Tepper Jeffrey C/O DECARBONIZATION PLUS ACQ CORP IV 2744 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025 1 0 0 0 Class B Ordinary Shares, par value $0.0001 per share 2023-01-17 4 J 0 22853 D Class A Ordinary Shares, par value $0.0001 per share 22853 18698 D The Class B Ordinary Shares are convertible into Class A Ordinary Shares of the Issuer's on a one-for-one basis, subject to adjustment pursuant to certain anti-dilution rights, and have no expiration date. The Reporting Persons' Class B Ordinary Shares are convertible into Class A Ordinary Shares as described under the heading "Description of Securities-Founder Shares" in the Issuer's registration statement on Form S-1 (File No. 333- 254259). Pursuant to the Letter Agreement, by and among the Reporting Person, the Issuer, Decarbonization Plus Acquisition Sponsor IV LLC, a Cayman Islands limited liability company and the other holders of Class B Ordinary Shares, dated September 25, 2022 (the "Letter Agreement"), the Reporting Person agreed to assign and transfer 55% of the Class B Ordinary Shares acquired by the Reporting Person in connection with the Issuer's initial public offering to Riverstone Global Energy and Power Fund V (Cayman), L.P. ("Fund V"), Riverstone V Investment Management Cooperatief U.A. or a wholly-owned subsidiary thereof prior to the closing of the proposed business combination between Hammerhead Resources Inc., an Alberta corporation and the Issuer. On January 17, 2023, pursuant to the Letter Agreement, the Reporting Person transferred 22,853 Class B Ordinary Shares to R5 HHR FS Holdings LLC, a Delaware limited liability company and wholly-owned subsidiary of Fund V. Jeffrey Tepper, /s/ Peter Haskopoulos, Attorney-in-fact 2023-01-18