0000950103-21-014622.txt : 20210924 0000950103-21-014622.hdr.sgml : 20210924 20210924203125 ACCESSION NUMBER: 0000950103-21-014622 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210922 FILED AS OF DATE: 20210924 DATE AS OF CHANGE: 20210924 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Choubey Diwakar CENTRAL INDEX KEY: 0001883232 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39346 FILM NUMBER: 211278719 MAIL ADDRESS: STREET 1: 30 WEST 21ST STREET STREET 2: 9TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10010 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fusion Acquisition Corp. CENTRAL INDEX KEY: 0001807846 STANDARD INDUSTRIAL CLASSIFICATION: FINANCE SERVICES [6199] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 667 MADISON AVENUE STREET 2: 5TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10065 BUSINESS PHONE: 212-763-0169 MAIL ADDRESS: STREET 1: 667 MADISON AVENUE STREET 2: 5TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10065 4 1 dp158531_4-choubey.xml FORM 4 X0306 4 2021-09-22 0 0001807846 Fusion Acquisition Corp. ML 0001883232 Choubey Diwakar C/O MONEYLION INC. 30 WEST 21ST STREET, 9TH FLOOR NEW YORK NY 10010 1 1 0 0 President, CEO and Director Class A Common Stock 2021-09-22 4 A 0 14579571 A 14579571 D Class A Common Stock 2021-09-22 4 A 0 88175 A 88175 I By Wife Class A Common Stock 2021-09-22 4 A 0 820390 A 820390 I By FIG Growth Trust Class A Common Stock 2021-09-22 4 A 0 820390 A 820390 I By FIG Heritage Trust 1 Class A Common Stock 2021-09-22 4 A 0 861409 A 861409 I By FIG Heritage Trust 2 Class A Common Stock 2021-09-22 4 A 0 861409 A 861409 I By FIG Heritage Trust 3 Class A Common Stock 2021-09-22 4 D 0 970000 10.00 D 13609571 D Stock Options (Right to Buy) 0.22 2021-09-22 4 A 0 1476701 0 A 2027-11-14 Class A Common Stock 1476701 1476701 D Stock Options (Right to Buy) 0.40 2021-09-22 4 A 0 459451 0 A 2028-10-31 Class A Common Stock 459451 459451 D Stock Options (Right to Buy) 0.40 2021-09-22 4 A 0 2461169 0 A 2029-09-20 Class A Common Stock 2461169 2461169 D Stock Options (Right to Buy) 0.59 2021-09-22 4 A 0 164078 0 A 2030-04-30 Class A Common Stock 164078 164078 D Stock Options (Right to Buy) 2.58 2021-09-22 4 A 0 1944045 0 A 2031-01-31 Class A Common Stock 1944045 1944045 D Stock Options (Right to Buy) 0.78 2021-09-22 4 A 0 121893 0 A 2030-12-30 Class A Common Stock 121893 121893 I By Wife Stock Options (Right to Buy) 0.78 2021-09-22 4 A 0 114870 0 A 2030-12-30 Class A Common Stock 114870 114870 I By Wife Stock Options (Right to Buy) 0.78 2021-09-22 4 A 0 162192 0 A 2030-12-30 Class A Common Stock 162192 162192 I By Wife Received in connection with the Issuer's business combination (the "Business Combination") with MoneyLion Inc., now known as MoneyLion Technologies Inc. ("Legacy ML") in accordance with the terms of the Agreement and Plan of Merger, dated February 11, 2021, as amended on June 28, 2021 and September 4, 2021, by and among the Issuer (f/k/a Fusion Acquisition Corp.), ML Merger Sub Inc. ("Merger Sub") and Legacy ML (the "Merger Agreement"), pursuant to which Merger Sub merged with and into Legacy ML, with Legacy ML surviving the merger as a wholly-owned subsidiary of the Issuer. The reporting person disclaims beneficial ownership except to the extent of his pecuniary interest therein. In connection with the Issuer's Business Combination, the Reporting Person remitted shares of Class A Common Stock to the Issuer. The option vests 25% on the first anniversary of November 15, 2017 and in equal monthly installments thereafter until it is fully vested on the fourth anniversary of such date. The stock option was received in the Business Combination in exchange for a stock option to acquire shares of Legacy ML common stock. The option vests 25% on the first anniversary of November 1, 2018 and in equal monthly installments thereafter until it is fully vested on the fourth anniversary of such date. The stock option was received in the Business Combination in exchange for a stock option to acquire shares of Legacy ML common stock. The option vests 25% on the first anniversary of September 21, 2019 and in equal monthly installments thereafter until it is fully vested on the fourth anniversary of such date. The stock option was received in the Business Combination in exchange for a stock option to acquire shares of Legacy ML common stock. The option vests 25% on the first anniversary of May 1, 2020 and in equal monthly installments thereafter until it is fully vested on the fourth anniversary of such date. The stock option was received in the Business Combination in exchange for a stock option to acquire shares of Legacy ML common stock. The option vests 25% on the first anniversary of February 1, 2021 and in equal monthly installments thereafter until it is fully vested on the fourth anniversary of such date. The stock option was received in the Business Combination in exchange for a stock option to acquire shares of Legacy ML common stock. The option was granted on December 31, 2020 and is fully vested. The stock option was received in the Business Combination in exchange for a stock option to acquire shares of Legacy ML common stock. The option vests 100% on the first anniversary of December 31, 2020. The stock option was received in the Business Combination in exchange for a stock option to acquire shares of Legacy ML common stock. The option vests 25% on the first anniversary of December 31, 2020 and in equal monthly installments thereafter until it is fully vested on the fourth anniversary of such date. The stock option was received in the Business Combination in exchange for a stock option to acquire shares of Legacy ML common stock. /s/ Adam VanWagner, as Attorney-in-Fact for Diwakar Choubey 2021-09-24