Initial Statement of Beneficial Ownership (3)
10 Março 2022 - 12:14PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
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Storie Sally |
2. Date of Event Requiring Statement (MM/DD/YYYY)
3/9/2022
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3. Issuer Name and Ticker or Trading Symbol
Corazon Capital V838 Monoceros Corp [CRZN]
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(Last)
(First)
(Middle)
C/O CORAZON CAPITAL V838 MONOCEROS CORP, 222 W. MERCHANDISE MART PLAZA BOX #2982 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Street)
CHICAGO, IL 60654
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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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) |
Class A Ordinary Shares, par value $0.0001 (1) | 200 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: 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 |
Warrants (1) | (2) | (2) | Class A Ordinary Shares, par value $0.0001 | 66 | (2) | D | |
Explanation of Responses: |
(1) | The Reporting Person purchased 200 units of Corazon Capital V838 Monoceros Corp (the "Issuer"). Each unit consists of one of the Issuer's Class A ordinary shares, par value $0.0001 ("Ordinary Shares"), and one-third of one redeemable warrant. |
(2) | Each whole warrant entitles the holder thereof to purchase one Ordinary Share at an exercise price of $11.50 per share. The warrants will become exercisable on the later of 30 days after the completion of the Issuer's initial business combination and 12 months from the closing of the Issuer's initial public offering. The warrants will expire five years after the completion of the Issuer's initial business combination or earlier upon redemption or liquidation, as described under the heading "Description of Securities--Warrants" in the Issuer's registration statement on Form S-1 (File No. 333-253054). |
Remarks: Exhibit List: Exhibit 24 - Power of Attorney |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Storie Sally C/O CORAZON CAPITAL V838 MONOCEROS CORP 222 W. MERCHANDISE MART PLAZA BOX #2982 CHICAGO, IL 60654 | X |
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Signatures
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/s/ Steven Farsht as attorney in fact for Sally Storie | | 3/10/2022 |
**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. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
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