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