Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
Churchill Capital Corp V |
(Name of Issuer) |
Class A Common Stock, par value $0.0001 |
(Title of Class of Securities) |
17144T107 |
(CUSIP Number) |
December 31, 2021 |
(Date of Event which Requires Filing of this Statement) |
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ | Rule 13d-1(b) | |
☐ | Rule 13d-1(c) | |
☒ | Rule 13d-1(d) |
*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
CUSIP No. 17144T107 | SCHEDULE 13G | Page 2 of 9 |
1 |
NAME OF REPORTING PERSON
Churchill Sponsor V LLC |
|
2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
|
(a) ☐ (b) ☐ |
3 |
SEC USE ONLY
|
|
4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 |
SOLE VOTING POWER
0 |
6 |
SHARED VOTING POWER
12,500,000 | |
7 |
SOLE DISPOSITIVE POWER
0 | |
8 |
SHARED DISPOSITIVE POWER
12,500,000 |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
12,500,000 |
|
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
|
☐ |
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
20.0% |
|
12 |
TYPE OF REPORTING PERSON
OO |
CUSIP No. 17144T107 | SCHEDULE 13G | Page 3 of 9 |
1 |
NAME OF REPORTING PERSON
M. Klein Associates, Inc. |
|
2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
|
(a) ☐ (b) ☐ |
3 |
SEC USE ONLY
|
|
4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
New York |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 |
SOLE VOTING POWER
0 |
6 |
SHARED VOTING POWER
12,500,000 | |
7 |
SOLE DISPOSITIVE POWER
0 | |
8 |
SHARED DISPOSITIVE POWER
12,500,000 |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
12,500,000 |
|
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
|
☐ |
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
20.0% |
|
12 |
TYPE OF REPORTING PERSON
CO |
CUSIP No. 17144T107 | SCHEDULE 13G | Page 4 of 9 |
1 |
NAME OF REPORTING PERSON
Michael Klein |
|
2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
|
(a) ☐ (b) ☐ |
3 |
SEC USE ONLY
|
|
4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
United States |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 |
SOLE VOTING POWER
0 |
6 |
SHARED VOTING POWER
12,500,000 | |
7 |
SOLE DISPOSITIVE POWER
0 | |
8 |
SHARED DISPOSITIVE POWER
12,500,000 |
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
12,500,000 |
|
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
|
☐ |
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
20.0% |
|
12 |
TYPE OF REPORTING PERSON
IN |
CUSIP No. 17144T107 | SCHEDULE 13G | Page 5 of 9 |
ITEM 1. | (a) | Name of Issuer: |
Churchill Capital Corp V | ||
(b) | Address of Issuer’s Principal Executive Offices: | |
640 Fifth Avenue, 12th Floor New York, NY 10019 | ||
ITEM 2. | (a) | Name of Person Filing: |
This statement is being filed on behalf of each of the following persons (each, a “Reporting Person” and, collectively, the “Reporting Persons”): | ||
1. | Churchill Sponsor V LLC | |
2. | M. Klein Associates, Inc. | |
3. | Michael Klein | |
(b) | Address of Principal Business Office, or if none, Residence: | |
640 Fifth Avenue, 12th Floor New York, NY 10019 | ||
(c) | Citizenship: | |
See row 4 of the cover page of each Reporting Person. | ||
(d) | Title of Class of Securities: | |
Class A Common Stock, par value $0.0001 per share. | ||
(e) | CUSIP Number: | |
17144T107 | ||
ITEM 3. | IF THIS STATEMENT IS FILED PURSUANT TO §240.13D-1(B) OR 240.13D-2(B) OR (C), CHECK WHETHER THE PERSON FILING IS A: | |
Not Applicable. | ||
ITEM 4. |
OWNERSHIP.
In addition to the securities reported on the cover pages hereto, the Sponsor also directly owns 11,000,000 private placement warrants to purchase 11,000,000 shares of Class A Common Stock. The warrants be come exercisable beginning on the later of December 15, 2021 or 30 days after the completion of the Issuer’s initial business combination and expire five years after the completion of the Issuer’s initial business combination or earlier upon redemption or liquidation. |
CUSIP No. 17144T107 | SCHEDULE 13G | Page 6 of 9 |
Percentage ownership is based on 50,000,000 shares of Class A Common Stock outstanding as of December 27, 2021, as reported by the Issuer in its amended quarterly report on Form 10-Q for the period ended September 30, 2021, and 12,500,000 shares of Class B Common Stock directly owned by the Sponsor, and assumes conversion of such Class B Common Stock into Class A Common Stock. | |||
(a) | Amount beneficially owned: | ||
See row 9 of the cover page of each Reporting Person. | |||
(b) | Percent of class: | ||
See row 11 of the cover page of each Reporting Person. | |||
(c) | Number of shares as to which such person has: | ||
(i) | Sole power to vote or to direct the vote: | ||
See row 5 of the cover page of each Reporting Person. | |||
(ii) | Shared power to vote or to direct the vote: | ||
See row 6 of the cover page of each Reporting Person. | |||
(iii) | Sole power to dispose or to direct the disposition of: | ||
See row 7 of the cover page of each Reporting Person. | |||
(iv) | Shared power to dispose or to direct the disposition of: | ||
See row 8 of the cover page of each Reporting Person. | |||
ITEM 5. | OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. | ||
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following ¨. | |||
ITEM 6. | OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. | ||
Not Applicable. | |||
ITEM 7. | IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. | ||
Not Applicable. | |||
ITEM 8. | IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. | ||
Not Applicable. | |||
CUSIP No. 17144T107 | SCHEDULE 13G | Page 7 of 9 |
ITEM 9. | NOTICE OF DISSOLUTION OF GROUP. |
Not Applicable. | |
ITEM 10. | CERTIFICATION. |
Not Applicable. |
CUSIP No. 17144T107 | SCHEDULE 13G | Page 8 of 9 |
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Dated: February 11, 2022
Churchill Sponsor V LLC | ||||
a Delaware limited liability company | ||||
By: | M. Klein and Associates, Inc., its Managing Member | |||
By: | /s/ Jay Taragin | |||
Name: | Jay Taragin | |||
Title: | Chief Financial Officer | |||
M. Klein and Associates, Inc. | ||||
a New York corporation | ||||
By: | /s/ Jay Taragin | |||
Name: | Jay Taragin | |||
Title: | Chief Financial Officer | |||
Michael Klein | ||||
By: | /s/ Michael Klein | |||
Name: | Michael Klein | |||
CUSIP No. 17144T107 | SCHEDULE 13G | Page 9 of 9 |
Exhibit Index
Exhibit No. | Description | |
Exhibit 1 | Joint Filing Agreement, dated as of February 11, 2022, by and among Churchill Sponsor V LLC, M. Klein Associates, Inc. and Michael Klein. |
EXHIBIT 1
JOINT FILING AGREEMENT
PURSUANT TO RULE 13d-1(k)
The undersigned acknowledge and agree that the foregoing statement on Schedule 13G is filed on behalf of each of the undersigned and that all subsequent amendments to this statement on Schedule 13G shall be filed on behalf of each of the undersigned without the necessity of filing additional joint filing agreements. The undersigned acknowledge that each shall be responsible for the timely filing of such amendments, and for the completeness and accuracy of the information concerning him or it contained herein and therein, but shall not be responsible for the completeness and accuracy of the information concerning the others, except to the extent that he or it knows or has reason to believe that such information is inaccurate.
DATE: February 11, 2022
Churchill Sponsor V LLC | ||||
a Delaware limited liability company | ||||
By: | M. Klein and Associates, Inc., its Managing Member | |||
By: | /s/ Jay Taragin | |||
Name: | Jay Taragin | |||
Title: | Chief Financial Officer | |||
M. Klein and Associates, Inc. | ||||
a New York corporation | ||||
By: | /s/ Jay Taragin | |||
Name: | Jay Taragin | |||
Title: | Chief Financial Officer | |||
Michael Klein | ||||
By: | /s/ Michael Klein | |||
Name: | Michael Klein | |||