0001847069-22-000004.txt : 20220322 0001847069-22-000004.hdr.sgml : 20220322 20220322080834 ACCESSION NUMBER: 0001847069-22-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220317 FILED AS OF DATE: 20220322 DATE AS OF CHANGE: 20220322 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: 22757218 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 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_164795090088968.xml FORM 4 X0306 4 2022-03-17 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 2022-03-17 4 P 0 1428570 7 A 1428570 I By The Glockner Chevrolet Company Common Stock 6317 D Common Stock 845614 I See FN Common Stock 5581933 I See Footnote Warrants (Right to Buy) 11.5 2022-03-17 4 P 0 714285 A 2022-09-17 Common Stock 714285.0 714285 I By The Glockner Chevrolet Company These shares were purchased by the Reporting Person a part of a $250 million Private Investment in a Public Equity (PIPE) transaction consummated on March 17, 2022. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose. 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. By self as trustee for my benefit under the Timothy E. Glockner Revocable Trust. The securities reported in this Form 4 were acquired in the PIPE Offering in a combination of one share of the Company's common stock, par value $0.001 per share ("Common Stock"), and an accompanying one-half of one warrant to purchase one share of Common Stock (the "Warrants"), at a combined price of $7.00. The Warrants will expire on the earlier of (i) March 17, 2026 and (ii) the date fixed for redemption of the Warrants. Brad S. Kalter as attorney-in-fact for Timothy Glockner 2022-03-22