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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
C/O VG ACQUISITION CORP. |
65 BLEECKER STEET, 6TH FLOOR |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 10/01/2020
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3. Issuer Name and Ticker or Trading Symbol
VG Acquisition Corp.
[ VGAC.U ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Class B ordinary shares |
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Class A ordinary shares |
30,000 |
0 |
D |
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Class B Shares in VG Acquisition Holdings LLC |
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Class B ordinary shares |
175,851 |
0 |
D |
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Explanation of Responses: |
Remarks: |
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/s/ James Cahillane, as attorney-in-fact for Teresa Briggs |
10/01/2020 |
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** 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. |
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. |
Power of Attorney
KNOW ALL MEN BY THESE PRESENTS, that the undersigned
hereby constitutes and appoints each and any of James Cahillane its true and lawful attorney-in-fact and agent, with full power
of substitution and re-substitution, for him and in his name, place and stead, in any and all capacities (until revoked in writing)
to:
1. Sign
any and all instruments, certificates and documents appropriate or required to be executed on behalf of the undersigned pursuant
to sections 13 and 16 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and any and all regulations
promulgated thereunder (including, without limitation, any Joint Filing Agreement with respect thereto), and to file the same,
with all exhibits thereto, and any other documents in connection therewith, with the Securities and Exchange Commission (the “SEC”),
and with any other entity when and if such is mandated by the Exchange Act or by the Bylaws of the Financial Industry Regulatory
Authority;
2. prepare,
execute, acknowledge, deliver and file a Form ID (including any amendments or authentications thereto) with respect to obtaining
EDGAR codes, with the SEC;
3. seek
or obtain, as the representative of the undersigned and on behalf of the undersigned, information on transactions in the securities
of VG Acquisition Corp., from any third party, including brokers, employee benefit plan administrators and trustees, and the undersigned
hereby authorizes any such person to release any such information to such attorneys-in-fact and the undersigned approves and ratifies
any such release of information; and
4. perform
any and all other acts which in the discretion of such attorneys-in-fact are necessary or desirable for and on behalf of the undersigned
in connection with the foregoing.
The undersigned acknowledges that:
1. this
Power of Attorney authorizes, but does not require, such attorneys-in-fact to act in their discretion on information provided to
such attorneys-in-fact without independent verification of such information;
2. any
documents prepared and/or executed by such attorneys-in-fact on behalf of any of the undersigned pursuant to this Power of Attorney
will be in such form and will contain such information and disclosure as such attorney-in-fact, in his or her discretion, deems
necessary or desirable;
3. neither
the Company nor such attorneys-in-fact assumes (a) any liability for responsibility to comply with the requirements of the Exchange
Act for any of the undersigned, (b) any liability for any failure to comply with such requirements for any of the undersigned,
or (c) any obligation or liability for profit disgorgement under Section 16(b) of the Exchange Act for any of the undersigned;
and
4. this
Power of Attorney does not relieve any of the undersigned from responsibility for compliance with the undersigned’s obligations
under the Exchange Act, including without limitation the reporting requirements under Sections 13 and 16 of the Exchange Act.
The undersigned hereby gives and
grants the foregoing attorneys-in-fact full power and authority to do and perform all and every act and thing whatsoever requisite,
necessary or appropriate to be done in and about the foregoing matters as fully to all intents and purposes as the undersigned
might or could do if present, with full power of substitution and revocation, hereby ratifying all that such attorney-in-fact,
or such attorney-in-fact’s substitute or substitutes, of, for and on behalf of the undersigned, shall lawfully do or cause
to be done by virtue of this Power of Attorney. This Power of Attorney shall remain in full force and effect until revoked by the
undersigned in a signed writing delivered to such attorneys-in-fact.
[Signature page follows]
IN WITNESS WHEREOF, the
undersigned has caused this Power of Attorney to be executed as of this 29th day of September, 2020
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/s/ Teresa Briggs
Name: Teresa Briggs |
[Signature page to Power of Attorney]