Statement of Changes in Beneficial Ownership (4)
12 Agosto 2021 - 5:33PM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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
*
Haimovic Daniel |
2. Issuer Name and Ticker or Trading Symbol
Coliseum Acquisition Corp.
[
MITAU
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Co-Chief Executive Officer |
(Last)
(First)
(Middle)
80 PINE STREET, SUITE 3202 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
8/10/2021 |
(Street)
NEW YORK, NY 10005
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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 Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Class B ordinary share | (1) | 8/10/2021 | | J (2) | | | 187500 | (1) | (1) | Class A ordinary share | 187500 | $0.00 | 3750000 | I (3) | See footnote 3. |
Explanation of Responses: |
(1) | As described in the Issuer's registration statement on Form S-1 (File No. 333-254513) under the heading "Description of Securities--Founder Shares", the 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 described therein and have no expiration date. |
(2) | As contemplated in connection with the initial public offering of the Issuer, 187,500 Class B ordinary shares of the Issuer were forfeited by Coliseum Acquisition Sponsor LLC (the "Sponsor") to the Issuer for no consideration and cancelled because the underwriters of the Issuer's initial public offering did not exercise their over-allotment option as described in the Issuer's registration statement. |
(3) | Reporting Person is the Co-Chief Executive Officer and Director of the Issuer, and is a managing member of the Sponsor. Reporting Person has voting and investment discretion with respect to the securities held by the Sponsor. As such, Reporting Person may be deemed to share beneficial ownership of the shares of Class B ordinary shares held directly by the Sponsor. Reporting Person disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest he may have therein, directly or indirectly. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Haimovic Daniel 80 PINE STREET, SUITE 3202 NEW YORK, NY 10005 | X | X | Co-Chief Executive Officer |
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Signatures
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/s/ Daniel Haimovic | | 8/12/2021 |
**Signature of Reporting Person | Date |
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