Sec Form 4 Filing - Cohen Sponsor Interests V, LLC @ Fintech Acquisition Corp V - 2020-12-08

Insider filing report for Changes in Beneficial Ownership
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FORM 4
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
Cohen Sponsor Interests V, LLC
2. Issuer Name and Ticker or Trading Symbol
Fintech Acquisition Corp V [ FTCV]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O FINTECH ACQUISITION CORP. V, 2929 ARCH STREET, SUITE 1703
3. Date of Earliest Transaction (MM/DD/YY)
12/08/2020
(Street)
PHILADELPHIA, PA19104
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ 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
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
Class B Common Stock ( 1 ) 12/08/2020 J( 2 ) 23,333 ( 1 ) ( 1 ) Class A Common Stock 23,333 ( 2 ) 5,886,667 ( 3 ) I By FinTech Masala Advisors V, LLC ( 4 )
Reporting Owners
Reporting Owner Name / Address Relat ionships
Director 10% Owner Officer Other
Cohen Sponsor Interests V, LLC
C/O FINTECH ACQUISITION CORP. V
2929 ARCH STREET, SUITE 1703
PHILADELPHIA, PA19104
X
FinTech Masala, LLC
3 COLUMBUS CIRCLE 24TH FL
NEW YORK, NY10019
X
FinTech Masala Holdings, LLC
3 COLUMBUS CIRCLE 24TH FL
NEW YORK, NY10019
X
Signatures
/s/ Daniel G. Cohen, President of FinTech Masala, LLC, sole member of Cohen Sponsor Interests V, LLC 12/10/2020
Signature of Reporting Person Date
/s/ Daniel G. Cohen, President of FinTech Masala, LLC 12/10/2020
Signature of Reporting Person Date
/s/ Daniel G. Cohen, President of FinTech Masala Holdings, LLC 12/10/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The shares of Class B common stock will automatically convert into shares of Class A common stock at the time of the issuer's initial business combination on a one-for-one basis, subject to certain adjustments described in the issuer's charter documents and have no expiration date.
( 2 )Forfeiture and cancellation of shares of Class B common stock for no consideration because the underwriters' over-allotment option was not exercised in full.
( 3 )The reporting persons disclaim beneficial ownership of these securities, except to the extent of their pecuniary interest therein, and this report shall not be deemed an admission that the reporting persons are the beneficial owners of such securities for any other purpose.
( 4 )These shares are held directly by the issuer's sponsor, FinTech Masala Advisors V, LLC, which is managed by Cohen Sponsor Interests V, LLC. FinTech Masala, LLC is the sole member of Cohen Sponsor Interests V, LLC. FinTech Masala Holdings, LLC is the sole member of FinTech Masala, LLC. As a result, each of Cohen Sponsor Interests V, LLC, FinTech Masala, LLC and FinTech Masala Holdings, LLC shares voting and investment power over the issuer's shares held directly by FinTech Masala Advisors V, LLC.

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).
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