0000950103-21-015373.txt : 20211004
0000950103-21-015373.hdr.sgml : 20211004
20211004165432
ACCESSION NUMBER: 0000950103-21-015373
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210922
FILED AS OF DATE: 20211004
DATE AS OF CHANGE: 20211004
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bear Creek Ventures LLC
CENTRAL INDEX KEY: 0001886068
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39346
FILM NUMBER: 211303609
BUSINESS ADDRESS:
STREET 1: C/O MONEYLION INC.
STREET 2: 30 WEST 21ST STREET, 9TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10010
BUSINESS PHONE: (646) 673-1612
MAIL ADDRESS:
STREET 1: C/O MONEYLION INC.
STREET 2: 30 WEST 21ST STREET, 9TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10010
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: RDS MoneyLion Holdings I, LLC
CENTRAL INDEX KEY: 0001886066
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39346
FILM NUMBER: 211303610
BUSINESS ADDRESS:
STREET 1: C/O MONEYLION INC.
STREET 2: 30 WEST 21ST STREET, 9TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10010
BUSINESS PHONE: (646) 673-1612
MAIL ADDRESS:
STREET 1: C/O MONEYLION INC.
STREET 2: 30 WEST 21ST STREET, 9TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10010
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DSouza Rohit
CENTRAL INDEX KEY: 0001886079
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39346
FILM NUMBER: 211303611
MAIL ADDRESS:
STREET 1: C/O MONEYLION INC.
STREET 2: 30 WEST 21ST STREET, 9TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10010
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Telluride Capital Ventures LLC
CENTRAL INDEX KEY: 0001886070
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39346
FILM NUMBER: 211303608
BUSINESS ADDRESS:
STREET 1: C/O MONEYLION INC.
STREET 2: 30 WEST 21ST STREET, 9TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10010
BUSINESS PHONE: (646) 673-1612
MAIL ADDRESS:
STREET 1: C/O MONEYLION INC.
STREET 2: 30 WEST 21ST STREET, 9TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10010
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MONEYLION INC.
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
FORMER COMPANY:
FORMER CONFORMED NAME: Fusion Acquisition Corp.
DATE OF NAME CHANGE: 20200326
3
1
dp159283_3-dsouza.xml
X0206
3
2021-09-22
0
0001807846
MONEYLION INC.
ML
0001886079
DSouza Rohit
C/O MONEYLION INC.
30 WEST 21ST STREET, 9TH FLOOR
NEW YORK
NY
10010
0
0
1
0
0001886066
RDS MoneyLion Holdings I, LLC
C/O MONEYLION INC.
30 WEST 21ST STREET, 9TH FLOOR
NEW YORK
NY
10010
0
0
1
0
0001886068
Bear Creek Ventures LLC
C/O MONEYLION INC.
30 WEST 21ST STREET, 9TH FLOOR
NEW YORK
NY
10010
0
0
1
0
0001886070
Telluride Capital Ventures LLC
C/O MONEYLION INC.
30 WEST 21ST STREET, 9TH FLOOR
NEW YORK
NY
10010
0
0
1
0
Class A Common Stock
21300039
I
See Footnote
Class A Common Stock
1582433
I
See Footnote
Class A Common Stock
1704803
I
See Footnote
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.
Includes 21,300,039 shares indirectly beneficially owned through RDS MoneyLion Holdings I, LLC, 1,582,433 shares indirectly beneficially owned through Bear Creek Ventures, LLC and 1,704,803 shares indirectly beneficially owned through Telluride Capital Ventures, LLC. The reporting person disclaims beneficial ownership except to the extent of his pecuniary interest therein.
/s/ Rohit M. D'Souza, Rohit M. D'Souza
2021-10-04
/s/ Rohit M. D'Souza, Rohit M. D'Souza, Manager of RDS MoneyLion Holdings I, LLC
2021-10-04
/s/ Rohit M. D'Souza, Rohit M. D'Souza, Managing Member of Bear Creek Ventures, LLC
2021-10-04
/s/ Rohit M. D'Souza, Rohit M. D'Souza, General Managing Member of Telluride Capital Ventures, LLC
2021-10-04