SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
COHEN DANIEL G

(Last) (First) (Middle)
2929 ARCH STREET, SUITE 1703

(Street)
PHILADELPHIA PA 19104

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FINTECH ACQUISITION CORP VI [ FTVI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
06/28/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock (1) 06/28/2021 J(2) 1,516,111 (1) (1) Class A Common Stock 1,516,111 (2) 1,516,111(3) I By Cohen Sponsor Interests VI, LLC(4)
Class B Common Stock (1) 06/28/2021 J(5) 100,000 (1) (1) Class A Common Stock 100,000 (5) 100,000 I By FinTech Masala Advisors VI, LLC
Class B Common Stock (1) 06/28/2021 J(2) 1,516,111 (1) (1) Class A Common Stock 1,516,111 (2) 1,516,111(3) I By DGC Family FinTech Trust(4)(6)
Class B Common Stock (1) 06/28/2021 J(7) 100,000 (1) (1) Class A Common Stock 100,000 (7) 100,000 I By FinTech Masala Advisors VI, LLC
Explanation of Responses:
1. The shares of Class B common stock will automatically convert into shares of Class A common stock at the time of the issuer's initial business combination on a one-for-one basis, subject to certain adjustments described in the issuer's charter documents and have no expiration date.
2. Allocated to Cohen Sponsor Interests VI, LLC as a member of FinTech Investor Holdings VI, LLC and FinTech Masala Advisors VI, LLC.
3. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for any other purpose.
4. These shares are held directly by the issuer's sponsors, FinTech Investor Holdings VI, LLC and FinTech Masala Advisors VI, LLC, each of which is managed by Cohen Sponsor Interests VI, LLC. The reporting person is an indirect owner of Cohen Sponsor Interests VI, LLC.
5. Allocated to the reporting person as a member of FinTech Masala Advisors VI, LLC.
6. DGC Family FinTech Trust is an indirect owner of Cohen Sponsor Interests VI, LLC. The children of the reporting person are the beneficiaries of DGC Family FinTech Trust.
7. Allocated to DGC Family FinTech Trust as a member of FinTech Masala Advisors VI, LLC.
/s/ Daniel G. Cohen 06/30/2021
** 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 4 (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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