UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DSouza Rohit C/O MONEYLION INC. 30 WEST 21ST STREET, 9TH FLOOR NEW YORK, NY 10010 |
X | |||
RDS MoneyLion Holdings I, LLC C/O MONEYLION INC. 30 WEST 21ST STREET, 9TH FLOOR NEW YORK, NY 10010 |
X | |||
Bear Creek Ventures LLC C/O MONEYLION INC. 30 WEST 21ST STREET, 9TH FLOOR NEW YORK, NY 10010 |
X | |||
Telluride Capital Ventures LLC C/O MONEYLION INC. 30 WEST 21ST STREET, 9TH FLOOR NEW YORK, NY 10010 |
X |
/s/ Rohit M. D'Souza, Rohit M. D'Souza | 10/04/2021 | |
**Signature of Reporting Person | Date | |
/s/ Rohit M. D'Souza, Rohit M. D'Souza, Manager of RDS MoneyLion Holdings I, LLC | 10/04/2021 | |
**Signature of Reporting Person | Date | |
/s/ Rohit M. D'Souza, Rohit M. D'Souza, Managing Member of Bear Creek Ventures, LLC | 10/04/2021 | |
**Signature of Reporting Person | Date | |
/s/ Rohit M. D'Souza, Rohit M. D'Souza, General Managing Member of Telluride Capital Ventures, LLC | 10/04/2021 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Received in connection with the Issuer's business combination (the "Business Combination") with MoneyLion Inc., now known as MoneyLion Technologies Inc. ("Legacy ML") in accordance with the terms of the Agreement and Plan of Merger, dated February 11, 2021, as amended on June 28, 2021 and September 4, 2021, by and among the Issuer (f/k/a Fusion Acquisition Corp.), ML Merger Sub Inc. ("Merger Sub") and Legacy ML (the "Merger Agreement"), pursuant to which Merger Sub merged with and into Legacy ML, with Legacy ML surviving the merger as a wholly-owned subsidiary of the Issuer. |
(2) | Includes 21,300,039 shares indirectly beneficially owned through RDS MoneyLion Holdings I, LLC, 1,582,433 shares indirectly beneficially owned through Bear Creek Ventures, LLC and 1,704,803 shares indirectly beneficially owned through Telluride Capital Ventures, LLC. The reporting person disclaims beneficial ownership except to the extent of his pecuniary interest therein. |