SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
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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 for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
Malik Omeed

(Last) (First) (Middle)
214 BRAZILIAN AVENUE SUITE, 200-J

(Street)
PALM BEACH FL 33480

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
PSQ Holdings, Inc. [ PSQH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
07/19/2023
4. 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 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 Common Stock 07/19/2023 J(1)(2) 1,270,111 A (1) 1,270,111 I See Footnote(3)
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 Securities Underlying Derivative Security (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: 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 $11.5 07/19/2023 J(1)(2) 1,200,000 08/18/2023 07/19/2028 Class A Common Stock 1,200,000 $11.5 1,200,000 I See Footnote(4)
Explanation of Responses:
1. Represents the distribution by Colombier Sponsor LLC to the Reporting Person of (i) 1,270,111 shares of Class B common stock, which converted into shares of Class A common stock upon the closing of the Business Combination (as defined below), and (ii) 1,200,000 warrants to purchase Class A common stock.
2. Upon the closing of the business combination of Colombier Acquisition Corp. ("Colombier") with PSQ Holdings, Inc. (the "Business Combination"), all outstanding shares of Class B common stock converted into shares of Class A common stock, and Colombier effected a name change to PSQ Holdings, Inc.
3. Represents (i) 544,736 shares beneficially owned for the benefit of the Reporting Person indirectly by Omeed Malik Advisors LLC, and (ii) 725,375 shares beneficially owned for the benefit of the Reporting Person indirectly by Knights Court LLC.
4. Beneficially owned for the benefit of the Reporting Person indirectly by Omeed Malik Advisors LLC.
/s/ Omeed Malik 07/21/2023
** 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 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.

Colombier Acquisition (NYSE:CLBR)
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から 11 2024 まで 12 2024 Colombier Acquisitionのチャートをもっと見るにはこちらをクリック
Colombier Acquisition (NYSE:CLBR)
過去 株価チャート
から 12 2023 まで 12 2024 Colombier Acquisitionのチャートをもっと見るにはこちらをクリック