0001847069-22-000007.txt : 20220512
0001847069-22-000007.hdr.sgml : 20220512
20220512161148
ACCESSION NUMBER: 0001847069-22-000007
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220511
FILED AS OF DATE: 20220512
DATE AS OF CHANGE: 20220512
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: 22917920
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_165238626279744.xml
FORM 4
X0306
4
2022-05-11
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
2022-05-11
4
A
0
13447
0
A
19764
D
Common Stock
845614
I
See FN
Common Stock
5581933
I
See Footnote
Common Stock
1428570
I
By The Glockner Chevrolet Company
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 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 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.
Brad S. Kalter as attorney-in-fact for Timothy Glockner
2022-05-12