Sec Form 3 Filing - Baruchowitz Mitchell @ Merida Merger Corp. I - 2019-10-29

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Baruchowitz Mitchell
2. Issuer Name and Ticker or Trading Symbol
Merida Merger Corp. I [ MCMJU]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O MERIDA MERGER CORP. I, 641 LEXINGTON AVENUE, 18TH FLOOR
3. Date of Earliest Transaction (MM/DD/YY)
10/29/2019
(Street)
NEW YORK, NY10022
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 3,450,000 ( 1 ) I By Merida Holdings, LLC ( 2 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Warrant ( 3 ) $ 11.5 ( 4 ) ( 5 ) Common Stock 3,150,000 I By Merida Holdings, LLC ( 2 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Baruchowitz Mitchell
C/O MERIDA MERGER CORP. I
641 LEXINGTON AVENUE, 18TH FLOOR
NEW YORK, NY10022
X
Signatures
/s/ Mitchell Baruchowitz 11/04/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Includes up to 450,000 shares that may be forfeited if the underwriters of the Issuer's initial public offering do not exercise the overallotment option in full.
( 2 )The shares and warrants are owned directly by Merida Holdings, LLC. The reporting person is a manager of Merida Holdings, LLC and will be one of four people to approve actions of such entity. Each manager has one vote, and the approval of at least three of the four managing members is required for approval of an action of the entity. The reporting person disclaims ownership of the securities held by Merida Holdings, LLC, except to the extent of his pecuniary interest therein.
( 3 )Includes warrants which, prior to the effective date of the registration statement relating to the Issuer's initial public offering, Merida Holdings, LLC irrevocably committed to purchase. Does not include up to 302,400 additional warrants which Merida Holdings, LLC irrevocably committed to purchase in the event the underwriters in the issuer's initial public offering exercise the over-allotment option in full.
( 4 )Each warrant will become exercisable on the later of the completion of an initial business combination or November 4, 2020.
( 5 )Each warrant will expire five years after the completion of an initial business combination.

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).

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