Blaize Holdings, Inc. — Director's Dealing 2021

Dec 11, 2021

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: BurTech Acquisition Corp. (BRKHU)
CIK: 0001871638
Period of Report: 2021-12-10

Reporting Person: Golden Leon (Director)

Holdings (Non-Derivative)

Security	Shares	Ownership
Class A Common Stock	0	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Class B Common Stock	$		Class A Common Stock (0)		Indirect

Footnotes

F1: These shares represent 804,500 shares of Class A common stock of the issuer held by the Sponsor included in the Placement Units as described in the issuer's registration statement on Form S-1 (File No. 333-258914) under the heading "Description of Securities".

F2: These shares represent the common stock held by BurTech LP, LLC (the "Sponsor"), acquired pursuant to a private placement by and between the Sponsor and the registrant. The common stock owned by the Sponsor includes up to 1,237,500 shares that are subject to forfeiture in the event the underwriters of the initial public offering of the registrant's securities do not exercise in full their over-allotment option as described in the registrant's registration statement.

F3: The reporting person is, directly or indirectly, a member of our sponsor or has direct or indirect economic interests in our sponsor, and may be deemed to have beneficial ownership of the securities held directly by the Sponsor, and disclaims any beneficial ownership of the reported securities other than to the extent of any pecuniary interest he may have therein, directly or indirectly.