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

Role
10%+ Owner
Signature
/s/ Rhett Bennett, Chief Executive Officer and Managing Member
Stock symbol
BMAC
Transactions as of
Oct 13, 2021
Transactions value $
$0
Form type
3
Date filed
10/13/2021, 03:35 PM
Next filing
Apr 10, 2023

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 Oct 13, 2021 Class A Common Stock 5.66M 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.