0001213900-20-042072.txt : 20201210
0001213900-20-042072.hdr.sgml : 20201210
20201210180441
ACCESSION NUMBER: 0001213900-20-042072
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201208
FILED AS OF DATE: 20201210
DATE AS OF CHANGE: 20201210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FinTech Masala Holdings, LLC
CENTRAL INDEX KEY: 0001768157
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39760
FILM NUMBER: 201381652
BUSINESS ADDRESS:
STREET 1: 3 COLUMBUS CIRCLE 24TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10019
BUSINESS PHONE: 2127351498
MAIL ADDRESS:
STREET 1: 3 COLUMBUS CIRCLE 24TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10019
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FinTech Masala, LLC
CENTRAL INDEX KEY: 0001768156
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39760
FILM NUMBER: 201381653
BUSINESS ADDRESS:
STREET 1: 3 COLUMBUS CIRCLE 24TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10019
BUSINESS PHONE: 2127351498
MAIL ADDRESS:
STREET 1: 3 COLUMBUS CIRCLE 24TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10019
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cohen Sponsor Interests V, LLC
CENTRAL INDEX KEY: 0001831139
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39760
FILM NUMBER: 201381654
BUSINESS ADDRESS:
STREET 1: 2929 ARCH STREET STE 1703
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
BUSINESS PHONE: 4844593476
MAIL ADDRESS:
STREET 1: 2929 ARCH STREET STE 1703
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Fintech Acquisition Corp V
CENTRAL INDEX KEY: 0001829328
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 844794021
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2929 ARCH STREET STE 1703
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
BUSINESS PHONE: 4844593476
MAIL ADDRESS:
STREET 1: 2929 ARCH STREET STE 1703
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
4
1
ownership.xml
OWNERSHIP DOCUMENT
X0306
4
2020-12-08
0
0001829328
Fintech Acquisition Corp V
FTCV
0001831139
Cohen Sponsor Interests V, LLC
C/O FINTECH ACQUISITION CORP. V
2929 ARCH STREET, SUITE 1703
PHILADELPHIA
PA
19104
0
0
1
0
0001768156
FinTech Masala, LLC
3 COLUMBUS CIRCLE 24TH FL
NEW YORK
NY
10019
0
0
1
0
0001768157
FinTech Masala Holdings, LLC
3 COLUMBUS CIRCLE 24TH FL
NEW YORK
NY
10019
0
0
1
0
Class B Common Stock
2020-12-08
4
J
0
23333
D
Class A Common Stock
23333
5886667
I
By FinTech Masala Advisors V, LLC
The shares of Class B common stock will automatically convert into shares of Class A common stock at the time of the issuer's initial business combination on a one-for-one basis, subject to certain adjustments described in the issuer's charter documents and have no expiration date.
Forfeiture and cancellation of shares of Class B common stock for no consideration because the underwriters' over-allotment option was not exercised in full.
The reporting persons disclaim beneficial ownership of these securities, except to the extent of their pecuniary interest therein, and this report shall not be deemed an admission that the reporting persons are the beneficial owners of such securities for any other purpose.
These shares are held directly by the issuer's sponsor, FinTech Masala Advisors V, LLC, which is managed by Cohen Sponsor Interests V, LLC. FinTech Masala, LLC is the sole member of Cohen Sponsor Interests V, LLC. FinTech Masala Holdings, LLC is the sole member of FinTech Masala, LLC. As a result, each of Cohen Sponsor Interests V, LLC, FinTech Masala, LLC and FinTech Masala Holdings, LLC shares voting and investment power over the issuer's shares held directly by FinTech Masala Advisors V, LLC.
/s/ Daniel G. Cohen, President of FinTech Masala, LLC, sole member of Cohen Sponsor Interests V, LLC
2020-12-10
/s/ Daniel G. Cohen, President of FinTech Masala, LLC
2020-12-10
/s/ Daniel G. Cohen, President of FinTech Masala Holdings, LLC
2020-12-10