Patrick Orlando - Dec 10, 2021 Form 3 Insider Report for BurTech Acquisition Corp. (BRKH)

Role: 10%+ Owner
Signature: /s/ Patrick Orlando
Stock symbol: BRKH
Transactions as of: Dec 10, 2021
Transactions value $: $0
Form type: 3
Date filed: 12/13/2021, 03:22 PM
Previous filing: Sep 10, 2021
Next filing: Mar 11, 2022

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
holding	BRKH	Class A Common Stock						805K	Dec 10, 2021	See Footnote	F1, F3

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							Dec 10, 2021	Class A Common Stock	9.49M		See Footnote	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 Sponsor 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	These shares represent the common stock held by BurTech LP, LLC (the "Sponsor"), acquired pursuant to a private placement by and between the Sponsor and the registrant. The common stock owned by the Sponsor includes up to 1,237,500 shares that are subject to forfeiture in the event the underwriters of the initial public offering of the registrant's securities do not exercise in full their over-allotment option as described in the registrant's registration statement.
F3	As a manager of the Sponsor, the reporting person may be deemed to have beneficial ownership of the securities held directly by the Sponsor, and disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest he may have therein, directly or indirectly.