4//SEC Filing
VENKATARAMAN BALAJI 4
Accession 0001213900-21-050329
CIK 0001788028other
Filed
Sep 27, 8:00 PM ET
Accepted
Sep 28, 4:32 PM ET
Size
11.2 KB
Accession
0001213900-21-050329
Insider Transaction Report
Form 4
VENKATARAMAN BALAJI
DirectorChief Executive Officer10% Owner
Transactions
- Exercise/Conversion
Voting Common Stock
2021-09-24+2,300,000→ 2,300,000 total(indirect: See Footnote) - Disposition to Issuer
Class B Common Stock
2021-09-24+200,000→ 0 total(indirect: See Footnote)→ Class A Common Stock (200,000 underlying) - Exercise/Conversion
Class B Common Stock
2021-09-24+2,300,000→ 0 total(indirect: See Footnote)→ Class A Common Stock (2,300,000 underlying)
Footnotes (4)
- [F1]As described in the Issuer's registration statement on Form S-1 (File No. 333-234324) under the heading "Description of Securities--Founder Shares", 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 adjustment described therein and have no expiration date.
- [F2]On September 24, 2021, Amplitude Healthcare Acquisition Corporation ("AMHC" and the former name of the Issuer) consummated its business combination with Jasper Therapeutics, Inc. (the former name of Jasper Tx Corp.). In connection with the business combination, each share of Class B Common Stock converted to one share of Voting Common Stock. The reporting person resigned as a director and as an officer of the Issuer upon consummation of the business combination.
- [F3]Pursuant to an agreement by and between the Issuer and Amplitude Healthcare Holdings LLC, concurrent with the consummation of the business combination, these shares of Class B Common Stock were forfeited to the Issuer as of immediately prior to the Merger.
- [F4]Amplitude Healthcare Holdings LLC, is the record holder of the shares reported herein. Mr. Venkataraman may be deemed to share beneficial ownership of shares held by Amplitude Healthcare Holdings LLC. Mr. Venkataraman disclaims beneficial ownership of the shares held by Amplitude Healthcare Holdings LLC except to the extent of his pecuniary interest therein.
Documents
Issuer
Amplitude Healthcare Acquisition Corp
CIK 0001788028
Entity typeother
Related Parties
1- filerCIK 0001114916
Filing Metadata
- Form type
- 4
- Filed
- Sep 27, 8:00 PM ET
- Accepted
- Sep 28, 4:32 PM ET
- Size
- 11.2 KB