Mountain Lake Acquisition Corp.

12/16/2024 | Press release | Distributed by Public on 12/16/2024 19:26

Statement of Changes in Beneficial Ownership (Form 4)

Ownership Submission
FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
Grinberg Paul
2. Issuer Name and Ticker or Trading Symbol
Mountain Lake Acquisition Corp. [MLAC]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Chief Executive Officer
(Last) (First) (Middle)
C/O MOUNTAIN LAKE ACQUISITION CORP., 930 TAHOE BLVD STE 802 PMB 45
3. Date of Earliest Transaction (Month/Day/Year)
12/12/2024
(Street)
INCLINE VILLAGE, NV 89451
4. If Amendment, Date Original Filed (Month/Day/Year)
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 (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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 Ordinary Share, par value $0.0001 per share 12/16/2024 P 12,500(1) A (2) 12,500 I See Footnote(1)(3)
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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. SEC 1474 (9-02)
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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
(Month/Day/Year)
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 ordinary shares, par value $0.0001 per share (4) 12/12/2024 A 65,968 (4) (4) Class A ordinary shares 65,968 (5) 1,365,009 I See Footnote(3)(5)
Class B ordinary shares, par value $0.0001 per share (4) 12/16/2024 D 65,968 (4) (4) Class A ordinary shares 65,968 (6) 1,299,041 I See Footnote(3)(6)
Rights to receive Class A Ordinary Shares (2) 12/16/2024 P 12,500(1) (7) (7) Class A Ordinary Share, par value $0.0001 per share 12,500 (2)(7) 12,500 I See Footnote(1)(3)

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Grinberg Paul
C/O MOUNTAIN LAKE ACQUISITION CORP.
930 TAHOE BLVD STE 802 PMB 45
INCLINE VILLAGE, NV 89451
X Chief Executive Officer

Signatures

/s/ Paul Grinberg 12/16/2024
**Signature of Reporting Person Date

Explanation of Responses:

* 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).
(1) Reflects the private units owned by Mountain Lake Acquisition Sponsor LLC, the Issuer's sponsor (the "Sponsor"), in which the reporting person has a pecuniary interest. The private units consist of Class A ordinary shares and rights.
(2) The private units were purchased at $10.00 per unit.
(3) There are two managing member of the Sponsor, Paul Grinberg and Paul Grinberg. Messrs. Grinberg and Horlick hold voting and investment discretion with respect to the Class B ordinary shares held of record by the Sponsor. As such, Messrs. Grinberg and Horlick may be deemed to have beneficial ownership of the securities held of record by the Sponsor. Mr. Horlick disclaims any beneficial ownership except to the extent of his pecuniary interest therein.
(4) As described in the registration statement on Form S-1 (File No. 333-281410) of the Issuer under the heading "Description of Securities--Founder Shares," the shares of Class B ordinary shares will automatically convert into shares of Class A ordinary shares at the time of the Issuer's initial business combination, or at any time prior to the Issuer's initial business combination, at the option of the holder, on a one-for-one basis, subject to certain adjustments.
(5) Reflects the issuance of bonus shares on December 12, 2024 in connection with the upsize of the Issuer's initial public offering.
(6) Reflects the forfeiture of shares because the Issuer's over-allotment option was only partially exercised by the underwriters.
(7) The rights convert automatically into Class A ordinary shares at the completion of the Issuer's initial business combination.
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.