Sec Form 4 Filing - Otworth Michael @ PureCycle Technologies, Inc. - 2022-03-17

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
Otworth Michael
2. Issuer Name and Ticker or Trading Symbol
PureCycle Technologies, Inc. [ PCT]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chairman and CEO
(Last) (First) (Middle)
C/O PURECYCLE TECHNOLOGIES, INC., 5950 HAZELTINE NATIONAL DRIVE, SUITE 650
3. Date of Earliest Transaction (MM/DD/YY)
03/17/2022
(Street)
ORLANDO, FL32822
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 03/17/2022 P 142,856( 1 ) A $ 7 4,436,852 D
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
Warrants (Right to Buy) $ 11.5 03/17/2022 P 71,428 09/17/2022 ( 2 ) Common Stock 71,428 ( 2 ) 71,428 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Otworth Michael
C/O PURECYCLE TECHNOLOGIES, INC.
5950 HAZELTINE NATIONAL DRIVE, SUITE 650
ORLANDO, FL32822
X Chairman and CEO
Signatures
/s/ Brad S. Kalter as attorney-in-fact for Michael Otworth 03/21/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents shares purchased by the Reporting Person in connection with a $250 million private placement transaction consummated on March 17, 2022 (the "PIPE Offering") by PureCycle Technologies, Inc. (the "Company").
( 2 )The securities reported in this Form 4 were acquired in the PIPE Offering in a combination of one share of the Company's common stock, par value $0.001 per share ("Common Stock"), and an accompanying one-half of one warrant to purchase one share of Common Stock (the "Warrants"), at a combined price of $7.00. The Warrants will expire on the earlier of (i) March 17, 2026 and (ii) the date fixed for redemption of the Warrants.

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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