FORM 4
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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).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 |
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1. Name and Address of Reporting Person * Trasimene Trebia, LP | 2. Issuer Name and Ticker or Trading Symbol System1, Inc. [ SST ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below) |
3. Date of Earliest Transaction
(MM/DD/YYYY)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_ X _ Form filed by More than One Reporting Person | |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
1.Title of Security (Instr. 3) | 2. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. 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 | ||||||
Class A common stock, par value $0.0001 per share | 1/26/2022 | J(3) | 833,750 | D | $0 | 5,728,437 | D (1)(2) | |||
Class A common stock, par value $0.0001 per share | 1/27/2022 | J(3) | 1,991,232 | D | $0 | 3,737,205 | D (1)(2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: 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 | ||||||||
Class D common stock, par value $0.0001 per share | (4) | (4) | (4) | Class A common stock, par value $0.0001 | 833,750 | 833,750 | D (1)(2) | ||||||||
Warrants | $11.5 | 1/27/2022 | A (5) | 4,734,167 | (5) | 1/27/2027 | Class A common stock, par value $0.0001 | 4,734,167 | (5) | 4,734,167 | D (1)(2) |
Remarks: In accordance with the Business Combination Agreement, Trebia, a Cayman Islands exempted company, domesticated as a Delaware corporation (the "Domestication") and changed its name to "System1, Inc." Pursuant to the Domestication, the 7,395,937 Class B ordinary shares of Trebia, par value $0.0001 per share, directly owned by Trasimene, converted automatically, on a one-for-one basis, into 6,562,187 shares of Class A common stock and 833,750 shares of Class D common stock. Exhibit 24.1 (Power of Attorney) and Exhibit 99.1 (Joint Filer Information and Signatures) are hereby incorporated by reference herein. |
Reporting Owners | |||||
Reporting Owner Name / Address | |||||
Director | 10% Owner | Officer | Other | ||
Trasimene Trebia, LP C/O 1701 VILLAGE CENTER CIRCLE LAS VEGAS, NV 89134 | X | X | |||
Trasimene Trebia, LLC C/O 1701 VILLAGE CENTER CIRCLE LAS VEGAS, NV 89134 | X | X | |||
FOLEY WILLIAM P II C/O 1701 VILLAGE CENTER CIRCLE LAS VEGAS, NV 89134 | X | X |
Signatures | ||
See Exhibit 99.1 | 1/28/2022 | |
**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 control number. |
1. |
prepare, execute in the undersigned’s name and on the undersigned’s behalf, and submit to the U.S. Securities and Exchange Commission (the “SEC”) a Form ID, including
amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934
or any rule or regulation of the SEC;
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execute for and on behalf of the undersigned with respect to System1, Inc. (the “Company”), Schedules 13D and 13G and Forms 3, 4, and 5 in accordance with Sections 13
and 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;
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do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Schedules 13D or 13G or Form 3, 4, or 5, complete and execute any
amendment or amendments thereto, and timely file such form with the SEC and any stock exchange or similar authority; and
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4. |
take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the
undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact
may approve in such attorney-in-fact’s discretion.
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TRASIMENE TREBIA LP
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/s/ Michael L. Gravelle
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Name:
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Michael L. Gravelle
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Title:
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General Counsel and Corporate Secretary
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TRASIMENE TREBIA, LLC
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/s/ Michael L. Gravelle
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Name:
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Michael L. Gravelle
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Title:
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General Counsel and Corporate Secretary
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WILLIAM P. FOLEY, II
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/s/ William P. Foley, II
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Name:
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William P. Foley, II
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Name of Joint Filer:
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Trasimene Trebia LP
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Address of Joint Filer:
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c/o 1701 Village Center Circle
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Las Vegas, NV 89134
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Relationship of Joint Filer to Issuer:
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10% Owner, Director
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Issuer Name and Ticker or Trading Symbol:
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System1, Inc. [SST]
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Date of Earliest Transaction Required to be Reported
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(Month/Day/Year):
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January 26, 2022
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Designated Filer:
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Trasimene Trebia LP
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TRASIMENE TREBIA LP
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/s/ Michael L. Gravelle
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Name:
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Michael L. Gravelle
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Title:
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General Counsel and Corporate Secretary
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Name of Joint Filer:
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Trasimene Trebia, LLC
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Address of Joint Filer:
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c/o 1701 Village Center Circle
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Las Vegas, NV 89134
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Relationship of Joint Filer to Issuer:
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10% Owner, Director
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Issuer Name and Ticker or Trading Symbol:
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System1, Inc. [SST]
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Date of Earliest Transaction Required to be Reported | |
(Month/Day/Year):
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January 26, 2022
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Designated Filer:
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Trasimene Trebia LP
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TRASIMENE TREBIA, LLC
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/s/ Michael L. Gravelle
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Name:
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Michael L. Gravelle
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Title:
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General Counsel and Corporate Secretary
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Name of Joint Filer:
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William P. Foley, II
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Address of Joint Filer:
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c/o 1701 Village Center Circle
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Las Vegas, NV 89134
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Relationship of Joint Filer to Issuer:
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10% Owner, Director
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Issuer Name and Ticker or Trading Symbol:
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System1, Inc. [SST]
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Date of Earliest Transaction Required to be Reported | |
(Month/Day/Year):
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January 26, 2022
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Designated Filer:
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Trasimene Trebia LP
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By: |
/s/ Michael L. Gravelle |
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Name: Michael L. Gravelle, by Attorney-in-Fact for William P. Foley, II |