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