Douglas B. Kline - Dec 8, 2021 Form 3 Insider Report for Jackson Acquisition Co (RJAC)

Role
CFO and Treasurer
Signature
/s/ Richard L. Jackson, as attorney-in fact for Douglas B. Kline
Stock symbol
RJAC
Transactions as of
Dec 8, 2021
Transactions value $
$0
Form type
3
Date filed
12/8/2021, 08:30 PM

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 RJAC Class B Common Stock Dec 8, 2021 Class A Common Stock 15K Direct F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 As described in the issuer's registration statement on Form S-1 (File No. 333-254727) under the heading "Description of Securities - Founder Shares," the shares of Class B common stock, par value $0.0001 per share, of the issuer will automatically convert into shares of Class A common stock, par value $0.0001 per share, of the issuer at the time of the issuer's initial business combination, or earlier at the option of the holder, on a one-for-one basis, subject to certain adjustment, and have no expiration date.

Remarks:

Exhibit 24.1 - Power of Attorney