0001847069-21-000003.txt : 20210813 0001847069-21-000003.hdr.sgml : 20210813 20210813164929 ACCESSION NUMBER: 0001847069-21-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210811 FILED AS OF DATE: 20210813 DATE AS OF CHANGE: 20210813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Glockner Timothy CENTRAL INDEX KEY: 0001847069 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40234 FILM NUMBER: 211173031 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 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5950 HAZELTINE NATIONAL DRIVE, SUITE 650 CITY: ORLANDO STATE: FL ZIP: 32822 BUSINESS PHONE: 877-648-3565 MAIL ADDRESS: STREET 1: 5950 HAZELTINE NATIONAL DRIVE, SUITE 650 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_162888774133706.xml FORM 4 X0306 4 2021-08-11 0 0001830033 PureCycle Technologies, Inc. PCT 0001847069 Glockner Timothy C/O PURECYCLE TECHNOLOGIES, INC. 5950 HAZELTINE NATIONAL DRIVE, SUITE 650 ORLANDO FL 32822 1 0 0 0 Common Stock 2021-08-11 4 A 0 6317 0 A 6317 D Common Stock 5581933 I See Footnote Common Stock 845614 I See Footnote II 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. By self as trustee for my benefit under the Timothy E. Glockner Revocable Trust. By self as co-trustee for the benefit of my children with respect to 845,614 shares in the Barbara G. Glockner Trust fbo Timothy E. Glockner. I am a contingent remainderman with respect to this trust, but disclaim beneficial ownership of the securities held within this trust. This report shall not be deemed an admission that I am the beneficial owner of the securities held within these trusts for purposes of Section 16 or for any other purpose. Brad S. Kalter as attorney-in-fact for Timothy Glockner 2021-08-13