0001104659-23-035611.txt : 20230322 0001104659-23-035611.hdr.sgml : 20230322 20230322162940 ACCESSION NUMBER: 0001104659-23-035611 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230321 FILED AS OF DATE: 20230322 DATE AS OF CHANGE: 20230322 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ahmad Shahraab CENTRAL INDEX KEY: 0001848131 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40158 FILM NUMBER: 23753282 MAIL ADDRESS: STREET 1: 49 CATHCART ROAD CITY: LONDON STATE: X0 ZIP: SW10 9JE REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Atlantic Coastal Acquisition Management LLC CENTRAL INDEX KEY: 0001849044 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40158 FILM NUMBER: 23753281 BUSINESS ADDRESS: STREET 1: 6 ST JOHNS LANE, FLOOR 5 CITY: NEW YORK STATE: NY ZIP: 10013 BUSINESS PHONE: (929) 264-4786 MAIL ADDRESS: STREET 1: 6 ST JOHNS LANE, FLOOR 5 CITY: NEW YORK STATE: NY ZIP: 10013 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Atlantic Coastal Acquisition Corp. CENTRAL INDEX KEY: 0001836274 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 854178663 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6 ST JOHNS LANE, FLOOR 5 CITY: NEW YORK STATE: NY ZIP: 10013 BUSINESS PHONE: (415) 230-4253 MAIL ADDRESS: STREET 1: 6 ST JOHNS LANE, FLOOR 5 CITY: NEW YORK STATE: NY ZIP: 10013 4 1 tm2310286-2_4seq1.xml OWNERSHIP DOCUMENT X0407 4 2023-03-21 0 0001836274 Atlantic Coastal Acquisition Corp. ACAH 0001848131 Ahmad Shahraab 49 CATHCART ROAD LONDON X0 SW10 9JE UNITED KINGDOM 1 1 1 0 Chairman and CEO 0001849044 Atlantic Coastal Acquisition Management LLC 6 ST JOHNS LANE, FLOOR 5 NEW YORK NY 10013 0 0 1 0 0 Class A Common Stock, par value $0.0001 per share 2023-03-21 4 J 0 50000 A 8474999 I See Footnote On March 21, 2023, Daniel M. Tapiero resigned from the Board of Directors of Atlantic Coastal Acquisition Corp. (the "Company"). Pursuant to the terms of Mr. Tapiero's stock grant from the Company, Mr. Tapiero's resignation triggered a forfeiture of 50,000 shares of Class A Common Stock then-held by Mr. Tapiero to Atlantic Coastal Acquisition Management LLC. Atlantic Coastal Acquisition Management LLC is the record holder of the securities reported herein. Shahraab Ahmad is the managing member of Atlantic Coastal Acquisition Management LLC and has sole voting and investment discretion with respect to the securities held of record by Atlantic Coastal Acquisition Management LLC. Mr. Ahmad disclaims any beneficial ownership of the securities held by Atlantic Coastal Acquisition Management LLC. Atlantic Coastal Acquisition Management LLC, /s/ Shahraab Ahmad, Managing Member 2023-03-22 /s/ Shahraab Ahmad 2023-03-22