Sec Form 3 Filing - COHEN DANIEL G @ INSU ACQUISITION CORP III - 2020-12-17

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
COHEN DANIEL G
2. Issuer Name and Ticker or Trading Symbol
INSU ACQUISITION CORP III [ IIII]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
2929 ARCH STREET, SUITE 1703
3. Date of Earliest Transaction (MM/DD/YY)
12/17/2020
(Street)
PHILADELPHIA, PA19104
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
Class A common stock 575,000 ( 1 ) ( 2 ) I By Insurance Acquisition Sponsor III, LLC
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 ( 3 ) ( 3 ) ( 3 ) Class A common stock 2,660,000 ( 2 ) I By Insurance Acquisition Sponsor III, LLC
Class B common stock ( 3 ) ( 3 ) ( 3 ) Class A common stock 5,888,333 ( 2 ) ( 4 ) I By Dioptra Advisors III, LLC
Warrants $ 11.5 ( 5 ) ( 6 ) Class A common stock 191,666 ( 2 ) ( 7 ) I By Insurance Acquisition Sponsor III, LLC
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
COHEN DANIEL G
2929 ARCH STREET, SUITE 1703
PHILADELPHIA, PA19104
X X
Signatures
/s/ Amanda Abrams, attorney-in-fact 12/17/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )These shares are held directly by Insurance Acquisition Sponsor III, LLC and underlie 575,000 units of the issuer that this entity irrevocably committed to purchase.
( 2 )These securities are held directly by one of the issuer's sponsors, Insurance Acquisition Sponsor III, LLC or Dioptra Advisors III, LLC, each of which is managed by Cohen & Company, LLC. The reporting person is the chief executive officer of each of the issuer's sponsors and the chairman of the board of Cohen & Company, LLC. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for any other purpose.
( 3 )The Class B shares will automatically convert into Class A shares 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.
( 4 )The shares of Class B common stock include up to 1,090,000 shares that are subject to forfeiture in the event the underwriters of the issuer's initial public offering do not exercise in full their over-allotment option.
( 5 )The warrants will become exercisable at the later of 30 days after the consummation of the issuer's initial business combination or 12 months from the completion of the issuer's initial public offering.
( 6 )The warrants will expire five years after the consummation of the issuer's initial business combination or earlier upon redemption of all of the issuer's outstanding Class A shares or the issuer's liquidation.
( 7 )These warrants are held directly by Insurance Acquisition Sponsor III, LLC and underlie 575,000 units of the issuer that this entity irrevocably committed to purchase.

Remarks:
Exhibit 24 - Power of Attorney

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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