Burtech LP LLC - 10 Dec 2021 Form 3 Insider Report for BurTech Acquisition Corp. (BZAI)

Role: 10%+ Owner
Signature: By: /s/ Shahal Khan, Authorized person of BurTech LP LLC
Issuer symbol: BZAI
Transactions as of: 10 Dec 2021
Net transactions value: $0
Form type: 3
Filing time: 10 Dec 2021, 20:58:15 UTC
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
holding	BRKH	Class A Common Stock						804,500	10 Dec 2021	Direct	F1

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	BRKH	Class B Common Stock							10 Dec 2021	Class A Common Stock	9,487,500		Direct	F2, F3

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	These shares represent 804,500 shares of Class A common stock of the issuer held by the Reporting Person included in the Placement Units as described in the issuer's registration statement on Form S-1 (File No. 333-258914) under the heading "Description of Securities".
F2	As described in the issuer's registration statement on Form S-1 (File No. 333-258914) under the heading "Description of Securities", the shares of Class B common stock will automatically convert into shares of Class A common stock at the time of the registrant's initial business combination on a one-for-one basis, subject to certain adjustments described therein and have no expiration date.
F3	These shares represent 9,487,500 shares of Class B common stock of the issuer held by the Reporting Person, including an aggregate of up to 1,237,500 shares subject to forfeiture by the Reporting Person to the extent that the underwriter's over-allotment is not exercised in full or in part.