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