0000899243-22-002472.txt : 20220119 0000899243-22-002472.hdr.sgml : 20220119 20220119180658 ACCESSION NUMBER: 0000899243-22-002472 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220119 FILED AS OF DATE: 20220119 DATE AS OF CHANGE: 20220119 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: 001-41224 FILM NUMBER: 22539967 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 II LLC CENTRAL INDEX KEY: 0001893205 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41224 FILM NUMBER: 22539966 BUSINESS ADDRESS: STREET 1: 6 ST JOHNS LANE, FLOOR 5 CITY: NEW YORK STATE: NY ZIP: 10013 BUSINESS PHONE: 248-890-7200 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. II CENTRAL INDEX KEY: 0001893219 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 871013956 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: 248-890-7200 MAIL ADDRESS: STREET 1: 6 ST JOHNS LANE, FLOOR 5 CITY: NEW YORK STATE: NY ZIP: 10013 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-01-19 0 0001893219 Atlantic Coastal Acquisition Corp. II ACAB 0001848131 Ahmad Shahraab FLAT 3, 2 - 14 PRINCE OF WALES TERRACE LONDON X0 W8 5PE UNITED KINGDOM 1 1 1 0 Chairman and CEO 0001893205 Atlantic Coastal Acquisition Management II LLC 6 ST JOHNS LANE, FLOOR 5 NEW YORK NY 10013 0 0 1 0 Series B Common Stock, par value $0.0001 per share 2022-01-19 4 J 0 50000 0.00 D Series A Common Stock, par value $0.0001 per share 50000 7203750 I See Footnote Series B Common Stock, par value $0.0001 per share 2022-01-19 4 J 0 3750 0.00 D Series A Common Stock, par value $0.0001 per share 3750 7200000 I See Footnote The Series B common stock are convertible into the Issuer's Series A common stock on a one-for-one basis, subject to adjustment pursuant to certain anti-dilution rights, as described under the heading "Description of Securities-Common Stock" in the Issuer's registration statement on Form S-1 (File No. 333-261459) (the "Registration Statement") and have no expiration date. Atlantic Coastal Acquisition Management II LLC is the record holder of the securities reported herein. Shahraab Ahmad is the sole and managing member of Atlantic Coastal Acquisition Management II LLC and shares voting and investment discretion with respect to the securities held of record by Atlantic Coastal Acquisition Management II LLC. Mr. Ahmad disclaims any beneficial ownership of the securities held by Atlantic Coastal Acquisition Management II LLC. As contemplated in connection with services provided by Apeiron Investment Group ("Apeiron") as an advisor to the Issuer and as described in the Registration Statement, 50,000 shares of Series B common stock were transferred by Atlantic Coastal Acquisition Management II LLC to Apeiron. As contemplated in connection with the initial public offering of the Issuer, 3,750 shares of Series B common stock were returned by Atlantic Coastal Acquisition Management II LLC to the Issuer for no consideration and cancelled because the underwriters' over-allotment option was partially exercised and the remaining portion of the option would not be exercised by the underwriters. By: /s/ Shahraab Ahmad, Attorney-in-Fact for Atlantic Coastal Acquisition Management II LLC 2022-01-19 By: /s/ Shahraab Ahmad 2022-01-19