SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF 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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1. Name and Address of Reporting Person*
Monat Jeffrey

(Last) (First) (Middle)
C/O MERIDA MERGER CORP. I
641 LEXINGTON AVENUE, 18TH FLOOR

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/29/2019
3. Issuer Name and Ticker or Trading Symbol
Merida Merger Corp. I [ MCMJU ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of 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
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 3,450,000(1) I By Merida Holdings, LLC(2)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant(3) (4) (5) Common Stock 3,150,000 $11.5 I By Merida Holdings, LLC(2)
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.
Remarks:
/s/ Jeffrey Monat 11/04/2019
** Signature of Reporting Person Date
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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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