Black Mountain Sponsor LLC - 13 Oct 2021 Form 3 Insider Report for Black Mountain Acquisition Corp.

Role
10%+ Owner
Signature
/s/ Rhett Bennett, Chief Executive Officer and Managing Member
Issuer symbol
N/A
Transactions as of
13 Oct 2021
Net transactions value
$0
Form type
3
Filing time
13 Oct 2021, 15:35:43 UTC
Next filing
10 Apr 2023
SEC
View on sec.gov

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding BMAC Class B Common Stock 13 Oct 2021 Class A Common Stock 5,660,000 Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The Class B Common Stock is convertible into Class A Common Stock of the Issuer on a one-for-one basis, subject to adjustment pursuant to certain anti-dilution rights, and has no expiration date.
F2 Includes up to 750,000 shares of Class B Common Stock that are subject to forfeiture by the Reporting Person depending on the extent to which the underwriters in the Issuer's initial public offering of units exercise their over-allotment option.