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*
Hytha David

(Last) (First) (Middle)
C/O CRYPTO 1 ACQUISITION CORP
1221 BRICKELL AVENUE, SUITE 900

(Street)
MIAMI FL 33131

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/06/2021
3. Issuer Name and Ticker or Trading Symbol
Crypto 1 Acquisition Corp [ DAOOU ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
X Officer (give title below) Other (specify below)
CFO and Secretary
5. 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 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 ordinary shares, par value $0.0001 (1) (1) Class A ordinary shares, par value $0.0001 per share 5,750,000(1) (1) I See footnote(2)
Explanation of Responses:
1. As described in the Issuer's registration statement on Form S-1 (No. 333-261051), as amended (the "Registration Statement"), the shares of Class B ordinary shares will automatically convert into shares of Class A ordinary shares at the time of the Issuer's initial business combination on a one-for-one basis subject to certain adjustments and have no expiration date. Such amount includes 750,000 ordinary shares, par value $0.0001 per share (the "Ordinary Shares"), of the Issuer subject to forfeiture to the extent that the underwriters do not fully or partially exercise their over-allotment option in the Issuer's initial public offering of the Ordinary Shares.
2. As described in the Registration Statement, Crypto 1 Sponsor LLC, a Delaware limited liability company (the "Sponsor"), is the record holder of such shares. Mr. Hytha is the sole member of the Sponsor. As such, Mr. Hytha may be deemed to have beneficial ownership of the Ordinary Shares held directly by the Sponsor. Mr. Hytha disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest they may have therein, directly or indirectly.
/s/ David Hytha 12/07/2021
** 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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