SEC Form 4
| FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol CardConnect Corp. [ CCN ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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| 3. Date of Earliest Transaction (Month/Day/Year) 07/29/2016 | ||||||||||||||||||||||||||
| 4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| Code | V | Amount | (A) or (D) | Price | ||||||
| Common Stock | 07/29/2016 | J | 9,756,030(1) | A | (2) | 9,756,030 | I | By FTVentures III, L:P.(3) | ||
| Common Stock | 07/29/2016 | J | 528,983(4) | A | (2) | 528,983 | I | By FTVentures III-N, L:P.(5) | ||
| Common Stock | 07/29/2016 | J | 317,390(6) | A | (2) | 317,390 | I | By FTVentures III-T, L:P.(7) | ||
| Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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| 1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Explanation of Responses: |
| 1. Represents (i) 9,442,472 shares received in exchange for 1,266,374 shares of FTS Holding Corporation ("Former CardConnect") common stock in connection with the merger of Former CardConnect into a subsidiary of FinTech Acquisition Corp. (the "Merger"), (ii) 174,833 shares purchased from FinTech Acquisition Corp. in a private placement transaction for $10.00 per share (the "PIPE"), and (iii) 138,725 shares received from certain founders of FinTech Acquisition Corp. for nominal consideration (the "Share Transfer"). In connection with the Merger, the issuer changed its name to CardConnect, Inc. |
| 2. The reporting person indirectly (i) acquired the shares of issuer common stock in the Merger, which valued the issuer's common stock at $10.00 per share, (ii) purchased shares received in the PIPE for $10.00 per share and (iii) received the shares in the Share Transfer for nominal consideration. |
| 3. These shares are held directly by FTVentures III, L.P. ("FTVIII"). FTVentures Management III, L.L.C. ("FTVentures") is the general partner of FTVIII. Richard N. Garman, Brad E. Bernstein, David A. Haynes, Chris H. Winship, James C. Hale and Robert A. Huret, as the managing members of FTVentures (the "Managing Members"), who acting by a majority vote of the group, share voting and dispositive power over the limited liability company interest in FTVIII held directly by FTVentures and therefore share an indirect beneficial interest in the common stock held directly by FTVIII. As such, the reporting person may be deemed to be the beneficial owner of the shares held directly by FTVIII. The reporting person expressly disclaims beneficial ownership of shares held directly by FTVIII, except to the extent of his pecuniary interests therein. |
| 4. Represents (i) 511,982 shares received in exchange for 68,665 shares of Former CardConnect common stock in connection with the Merger, (ii) 9,479 shares purchased in the PIPE and (iii) 7,522 shares received in the Share Transfer. |
| 5. These shares are held directly by FTVentures III-N, L.P. ("FTVIIIN"). FTVentures is the general partner of FTVIIIN. The Managing Members, who acting by a majority vote of the group, share voting and dispositive power over the limited liability company interest in FTVIIIN held directly by FTVentures and therefore share an indirect beneficial interest in the common stock held directly by FTVIIIN. As such, the reporting person may be deemed to be the beneficial owner of the shares held directly by FTVIIIN. The reporting person expressly disclaims beneficial ownership of shares held directly by FTVIIIN, except to the extent of his pecuniary interests therein. |
| 6. Represents (i) 307,189 shares received in exchange for 41,198 shares of Former CardConnect common stock in connection with the Merger, (ii) 5,688 shares purchased in the PIPE and (iii) 4,513 shares received in the Share Transfer. |
| 7. These shares are held directly by FTVentures III-T, L.P. ("FTVIIIT"). FTVentures is the general partner of FTVIIIT. The Managing Members, who acting by a majority vote of the group, share voting and dispositive power over the limited liability company interest in FTVIIIT held directly by FTVentures and therefore share an indirect beneficial interest in the common stock held directly by FTVIIIT. As such, the reporting person may be deemed to be the beneficial owner of the shares held directly by FTVIIIT. The reporting person expressly disclaims beneficial ownership of shares held directly by FTVIIIT, except to the extent of his pecuniary interests therein. |
| Chris H. Winship /s/ David A. Haynes by Power of Attorney | 08/02/2016 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * If the form is filed by more than one reporting person, see Instruction 4 (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). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| 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 Number. | ||