0000899243-21-038842.txt : 20211004 0000899243-21-038842.hdr.sgml : 20211004 20211004172005 ACCESSION NUMBER: 0000899243-21-038842 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210930 FILED AS OF DATE: 20211004 DATE AS OF CHANGE: 20211004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Patient Square Capital LLC CENTRAL INDEX KEY: 0001827614 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39597 FILM NUMBER: 211303977 BUSINESS ADDRESS: STREET 1: 8240 MCDANIEL ROAD CITY: FORT WORTH STATE: TX ZIP: 76126 BUSINESS PHONE: 212-446-4600 MAIL ADDRESS: STREET 1: 8240 MCDANIEL ROAD CITY: FORT WORTH STATE: TX ZIP: 76126 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Montes Archimedes Acquisition Corp CENTRAL INDEX KEY: 0001819263 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2884 SAND HILL ROAD STREET 2: SUITE 100 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 212-446-4600 MAIL ADDRESS: STREET 1: 2884 SAND HILL ROAD STREET 2: SUITE 100 CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-30 1 0001819263 Montes Archimedes Acquisition Corp MAAC 0001827614 Patient Square Capital LLC C/O MONTES ARCHIMEDES ACQUISITION CORP. 2884 SAND HILL ROAD, SUITE 100 MENLO PARK CA 94025 0 0 1 0 Class B common stock 2021-09-30 4 A 0 10167956 D Class A common stock 10167956 0 D The reporting person disposed of all issuer equity securities in connection with the business combination and ceased to be a reporting person with respect to the issuer. The reporting person is controlled by James C. Momtazee. /s/ Patient Square Capital LLC, By: /s/ James C. Momtazee, Chief Executive Officer 2021-10-01