0001213900-21-002350.txt : 20210114 0001213900-21-002350.hdr.sgml : 20210114 20210114204642 ACCESSION NUMBER: 0001213900-21-002350 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210114 FILED AS OF DATE: 20210114 DATE AS OF CHANGE: 20210114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ethridge Greg CENTRAL INDEX KEY: 0001699773 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39892 FILM NUMBER: 21530321 MAIL ADDRESS: STREET 1: 585 WEED STREET CITY: NEW CANAAN STATE: CT ZIP: 06840 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HENNESSY CAPITAL INVESTMENT CORP. V CENTRAL INDEX KEY: 0001829455 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 853433864 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3415 NORTH PINES WAY, SUITE 204 CITY: WILSON STATE: WY ZIP: 83014 BUSINESS PHONE: 3077344849 MAIL ADDRESS: STREET 1: 3415 NORTH PINES WAY, SUITE 204 CITY: WILSON STATE: WY ZIP: 83014 FORMER COMPANY: FORMER CONFORMED NAME: Hennessy Capital Acquisition Corp. V DATE OF NAME CHANGE: 20201021 3 1 ownership.xml X0206 3 2021-01-14 0 0001829455 HENNESSY CAPITAL INVESTMENT CORP. V HCICU 0001699773 Ethridge Greg C/O HENNESSY CAPITAL INVESTMENT CORP. V 3415 N. PINES WAY, SUITE 204 WILSON WY 83014 1 1 0 0 President and COO Class B Common Stock Class A Common Stock 500000 D As described in the registrant's registration statement on Form S-1 (File No. 333-251609) under the heading "Description of Securities-Founder Shares," the shares of Class B common stock will automatically convert into shares of Class A common stock 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. The reporting person also has pecuniary interests in shares of Class B common stock through his membership interest in Hennessy Capital Partners V LLC, over which the reporting person does not have voting or dispositive control. /s/ Greg Ethridge 2021-01-14