0001104659-21-141306.txt : 20211118
0001104659-21-141306.hdr.sgml : 20211118
20211118173059
ACCESSION NUMBER: 0001104659-21-141306
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211116
FILED AS OF DATE: 20211118
DATE AS OF CHANGE: 20211118
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Millette Michael
CENTRAL INDEX KEY: 0001835582
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39841
FILM NUMBER: 211425640
MAIL ADDRESS:
STREET 1: 2187 ATLANTIC STREET
STREET 2: FOURTH FLOOR
CITY: STAMFORD
STATE: CT
ZIP: 06902
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Kairos Acquisition Corp.
CENTRAL INDEX KEY: 0001824171
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 50 WASHINGTON STREET
STREET 2: SUITE 921
CITY: NORWALK
STATE: CT
ZIP: 06854
BUSINESS PHONE: 9177834057
MAIL ADDRESS:
STREET 1: 50 WASHINGTON STREET
STREET 2: SUITE 921
CITY: NORWALK
STATE: CT
ZIP: 06854
4
1
tm2133417-3_4.xml
FORM 4
X0306
4
2021-11-16
0
0001824171
Kairos Acquisition Corp.
KAIR
0001835582
Millette Michael
C/O HUDSON STRUCTURED CAPITAL MGMT LTD.
2187 ATLANTIC STREET - 4TH FLOOR
STAMFORD
CT
06902
0
0
1
1
Board Observer
Class B Ordinary Shares
2021-11-16
4
P
0
15000
0
A
Class A Ordinary Shares
15000
3959894
I
See Footnote
As described in the registrant's registration statement on Form S-1 (File No. 333-251553) under the heading "Description of Securities - Founder Shares", the Class B ordinary shares will automatically convert into Class A ordinary shares at the time of the registrant's initial business combination on a one-for-one basis (unless otherwise provided in the registrant's initial business combination agreement), subject to adjustment for share subdivisions, share consolidations, share capitalizations, reorganizations, recapitalizations and the like, and certain anti-dilution rights and have no expiration date.
Vikas Singhal, a Director of the issuer, and Michael Millette, the board observer of the issuer, are the Partners of Hudson Structured Capital Management Ltd. ("HSCM") which manages HSCM Bermuda Fund Ltd. ("HSCM Fund One") and HS Santanoni LP ("HSCM Fund Two"). HSCM Fund One and HSCM Fund Two jointly own HS Chronos LLC, of which Messrs. Singhal and Millette also serve as officers. Therefore, Messrs. Singhal and Millette manage, directly or indirectly, each of HS Chronos LLC, HSCM Fund One, HSCM Fund Two and HSCM (collectively, the "HSCM Holders"), and therefore may be deemed to be the beneficial owners of all the ordinary shares beneficially owned by the HSCM Holders. Messrs. Singhal and Millette, HSCM Fund One, HSCM Fund Two and HSCM disclaim beneficial ownership of the ordinary shares except to the extent of their respective pecuniary interests therein.
/s/ Michael Millette
2021-11-18