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: Burtech LP LLC (10% Owner)

Holdings (Non-Derivative)

Security	Shares	Ownership
Class A Common Stock	804500	Direct

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Class B Common Stock	$		Class A Common Stock (9487500)		Direct

Footnotes

F1: These shares represent 804,500 shares of Class A common stock of the issuer held by the Reporting Person 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: As described in the issuer's registration statement on Form S-1 (File No. 333-258914) under the heading "Description of Securities", the shares of Class B common stock will automatically convert into shares of Class A common stock at the time of the registrant's initial business combination on a one-for-one basis, subject to certain adjustments described therein and have no expiration date.

F3: These shares represent 9,487,500 shares of Class B common stock of the issuer held by the Reporting Person, including an aggregate of up to 1,237,500 shares subject to forfeiture by the Reporting Person to the extent that the underwriter's over-allotment is not exercised in full or in part.