0001847066-23-000002.txt : 20230511
0001847066-23-000002.hdr.sgml : 20230511
20230511170344
ACCESSION NUMBER: 0001847066-23-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230510
FILED AS OF DATE: 20230511
DATE AS OF CHANGE: 20230511
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Musa Fernando
CENTRAL INDEX KEY: 0001847066
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40234
FILM NUMBER: 23912067
MAIL ADDRESS:
STREET 1: 5950 HAZELTINE NATIONAL DRIVE
STREET 2: SUITE 650
CITY: ORLANDO
STATE: FL
ZIP: 32822
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PureCycle Technologies, Inc.
CENTRAL INDEX KEY: 0001830033
STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS, MATERIALS, SYNTH RESINS & NONVULCAN ELASTOMERS [2821]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5950 HAZELTINE NATIONAL DRIVE, SUITE 300
CITY: ORLANDO
STATE: FL
ZIP: 32822
BUSINESS PHONE: 877-648-3565
MAIL ADDRESS:
STREET 1: 5950 HAZELTINE NATIONAL DRIVE, SUITE 300
CITY: ORLANDO
STATE: FL
ZIP: 32822
FORMER COMPANY:
FORMER CONFORMED NAME: Roth CH Acquisition I Co. Parent Corp.
DATE OF NAME CHANGE: 20201026
4
1
wf-form4_168383900702755.xml
FORM 4
X0407
4
2023-05-10
0
0001830033
PureCycle Technologies, Inc.
PCT
0001847066
Musa Fernando
C/O PURECYCLE TECHNOLOGIES, INC.
5950 HAZELTINE NATIONAL DRIVE, SUITE 300
ORLANDO
FL
32822
1
0
0
0
0
Common Stock
2023-05-10
4
A
0
20193
0
A
33640
D
Common Stock
22634
I
By FCRB INVESTMENTS LIMITED
The restricted stock units were granted as part of the Company's 2021 long-term incentive plan and will vest on the earlier of (a) the one-year anniversary of the date of grant and (b) the date of the Company's regular annual meeting of stockholders which occurs in the calendar year following the calendar year in which the date of grant occurs.
Excludes 12,634 shares previously owned directly that were transferred to an investment vehicle owned in joint tenancy with the Reporting Person's spouse on June 23, 2022.
Includes 12,634 shares previously owned directly that were transferred to this investment vehicle owned in joint tenancy with the Reporting Person's spouse on June 23, 2022.
Owned in joint tenancy with the Reporting Person's spouse.
Brad S. Kalter as attorney-in-fact for Fernando Musa
2023-05-11