Kevork Tro Adjemian - Jun 25, 2021 Form 3 Insider Report for Electric Last Mile Solutions, Inc. (ELMSQ)

Role
Chief Technical Officer
Signature
/s/ Benjamin Wu, attorney-in-fact for Kevork Tro Adjemian
Stock symbol
ELMSQ
Transactions as of
Jun 25, 2021
Transactions value $
$0
Form type
3
Date filed
6/29/2021, 05:17 PM
Next filing
Sep 1, 2021

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 ELMSQ Convertible Note Jun 25, 2021 Common Stock 55K by KA Trust F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On December 10, 2020, Electric Last Mile, Inc. ("ELM") entered into a $500,000 Convertible Note with KA Trust. The reporting person is the beneficial owner of the Convertible Note issued to KA Trust. Pursuant to the terms of the Convertible Note, upon the closing of the transaction contemplated pursuant to the Agreement and Plan of Merger, dated as of December 10, 2020, by and among Forum Merger III Corporation ("Forum") (upon consummation of the business combination, the surviving "Issuer" is renamed "Electric Last Mile Solutions, Inc."), ELMS Merger Corp., a wholly owned subsidiary of Forum, and ELM, as amended, the Convertible Note will be converted into shares of common stock of Electric Last Mile Solutions, Inc.
F2 The reporting person has sole voting and investment power with respect to the shares of common stock held by the KA Trust.