SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Forum Investors IV LLC

(Last) (First) (Middle)
C/O FORUM MERGER IV CORPORATION
1615 SOUTH CONGRESS AVENUE, SUITE 103

(Street)
DELRAY BEACH FL 33445

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/17/2021
3. Issuer Name and Ticker or Trading Symbol
Forum Merger IV Corp [ FMIV ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) X Other (specify below)
*Director by Deputization
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock (1) (1) Class A Common Stock 8,625,000(1) (1) D(2)
1. Name and Address of Reporting Person*
Forum Investors IV LLC

(Last) (First) (Middle)
C/O FORUM MERGER IV CORPORATION
1615 SOUTH CONGRESS AVENUE, SUITE 103

(Street)
DELRAY BEACH FL 33445

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
Officer (give title below) X Other (specify below)
*Director by Deputization
1. Name and Address of Reporting Person*
Forum Capital Management IV LLC

(Last) (First) (Middle)
C/O FORUM MERGER IV CORPORATION
1615 SOUTH CONGRESS AVENUE, SUITE 103

(Street)
DELRAY BEACH FL 33445

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Kiev Marshall

(Last) (First) (Middle)
C/O FORUM MERGER IV CORPORATION
1615 SOUTH CONGRESS AVENUE, SUITE 103

(Street)
DELRAY BEACH FL 33445

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Co-CEO, President
1. Name and Address of Reporting Person*
Boris David

(Last) (First) (Middle)
C/O FORUM MERGER IV CORPORATION
1615 SOUTH CONGRESS AVENUE, SUITE 103

(Street)
DELRAY BEACH FL 33445

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Co-CEO, CFO
Explanation of Responses:
1. The shares of Class B common stock are convertible for shares of the Issuer's Class A common stock as described under the heading "Description of Securities" in the Issuer's registration statement on Form S-1 (File No. 333-253216) (the "Registration Statement") and have no expiration date. The shares of Class B common stock beneficially owned by the Reporting Persons include up to 1,125,000 shares of Class B common stock subject to forfeiture to the Issuer depending on the extent to which the underwriters' over-allotment option is exercised in connection with the Issuer's initial public offering of units, as described in the Registration Statement.
2. Forum Investors IV LLC (the "Sponsor") is the record holder of the shares reported herein. Marshall Kiev and David Boris are the managing members of Forum Capital Management IV LLC, which is the managing member of the Sponsor. As such, David Boris and Marshall Kiev may be deemed to have beneficial ownership of the securities held directly by the Sponsor. Each such entity or person disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest they may have therein, directly or indirectly.
Remarks:
See Exhibit 99.1 - Joint Filer Information, which is incorporated herein by reference and describes in further detail the relationships of the Reporting Persons to the Issuer. See Exhibits 24.1, 24.2, 24.3 and 21.4 - Powers of Attorney.
/s/ Daniel Nussen, Attorney-in-Fact for Forum Investors IV LLC 03/17/2021
/s/ Daniel Nussen, Attorney-in-Fact for Forum Capital Management IV LLC 03/17/2021
/s/ Daniel Nussen, Attorney-in-Fact for Marshall Kiev 03/17/2021
/s/ Daniel Nussen, Attorney-in-Fact for David Boris 03/17/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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