SEC FORM 3 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*
Cisneros Adriana

(Last) (First) (Middle)
700 NW 1ST AVENUE, SUITE 1700

(Street)
MIAMI FL 33136

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/06/2021
3. Issuer Name and Ticker or Trading Symbol
AST SpaceMobile, Inc. [ ASTS ]
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)
Class A Common Stock 5,600 I By Spouse(1)
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
Warrants (2)(3) (2)(3) Class A Common Stock 2,800 11.5 I By Spouse(2)(3)
Explanation of Responses:
1. Nicholas Griffin, the Reporting Person's spouse, purchased (i) 2,400 units of New Providence Acquisition Corp. ("NPA Units") at a price of $10.80 per NPA Unit on December 16, 2020 and (ii) 3,200 NPA Units at a price of $15.82 per NPA Unit on January 14, 2021. Each NPA Unit consists of one share of Class A common stock of the Issuer and one-half of one warrant to purchase one share of Class A common stock of the Issuer (each whole warrant, a "Warrant"). The Class A common stock reported herein represents the Class A common stock of the Issuer underlying such units. The Reporting Person disclaims beneficial ownership of the securities held by Nicholas Griffin, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
2. The Warrants reported herein represent the Warrants underlying (i) the 2,400 NPA Units purchased by Nicholas Griffin on December 16, 2020 and (ii) the 3,200 NPA Units of the Issuer purchased by Nicholas Griffin on January 14, 2021. Each Warrant is exercisable at an exercise price of $11.50 per share of Class A Common Stock of the Issuer, subject to certain anti-dilution adjustments.
3. (continued) The Warrants will become exercisable on the later of (i) 30 days after the completion of the Issuer's initial business combination and (ii) 12 months following the closing of the IPO, and the Warrants will expire five years after the completion of the Issuer's initial business combination or earlier upon redemption or liquidation, in each case as described under the heading "The Offering--Redeemable Warrants " in the Issuer's Registration Statement on Form S-1 (File No. 333-233449) filed with the Securities and Exchange Commission on September 12, 2019 (the "Registration Statement"). The Reporting Person disclaims beneficial ownership of these Warrants, except to the extent of her pecuniary interest therein.
/s/ Adriana Cisneros 04/08/2021
** 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).
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