0001880319-22-000038.txt : 20220503 0001880319-22-000038.hdr.sgml : 20220503 20220503174940 ACCESSION NUMBER: 0001880319-22-000038 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220429 FILED AS OF DATE: 20220503 DATE AS OF CHANGE: 20220503 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Haitham Khouri CENTRAL INDEX KEY: 0001892618 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41027 FILM NUMBER: 22888649 MAIL ADDRESS: STREET 1: C/O PERIMETER SOLUTIONS, SA STREET 2: 12E RUE GUILLAUME KROLL L1882 LUXEMBOURG CITY: GRAND DUCHY STATE: N4 ZIP: 00000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Perimeter Solutions, SA CENTRAL INDEX KEY: 0001880319 STANDARD INDUSTRIAL CLASSIFICATION: CHEMICALS & ALLIED PRODUCTS [2800] IRS NUMBER: 000000000 STATE OF INCORPORATION: N4 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12E RUE GUILLAUME KROLL, L-1882 CITY: LUXEMBOURG STATE: N4 ZIP: L-1882 BUSINESS PHONE: 000-000-0000 MAIL ADDRESS: STREET 1: 12E RUE GUILLAUME KROLL, L-1882 CITY: LUXEMBOURG STATE: N4 ZIP: L-1882 4 1 wf-form4_165161456048041.xml FORM 4 X0306 4 2022-04-29 0 0001880319 Perimeter Solutions, SA PRM 0001892618 Haitham Khouri C/O PERIMETER SOLUTIONS, SA 12E RUE GUILLAUME KROLL LUXEMBOURG N4 L-1882 LUXEMBOURG 1 0 0 0 Ordinary Shares 2022-04-29 4 J 0 1036174 0 A 1406174 D Represents a pro rata distribution from EverArc Founders, LLC to its members. /s/ Noriko Yokozuka, as Attorney-in-Fact 2022-05-03