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*
Grundman Mark

(Last) (First) (Middle)
C/O CHW ACQUISITION CORPORATION
2 MANHATTANVILLE ROAD SUITE 403

(Street)
PURCHASE NY 10577

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/30/2021
3. Issuer Name and Ticker or Trading Symbol
CHW Acquisition Corp [ CHWA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Co-Chief Executive Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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)
Ordinary Shares, par value $0.0001 3,162,500(1) I See footnote(2)(3)
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
1. Name and Address of Reporting Person*
Grundman Mark

(Last) (First) (Middle)
C/O CHW ACQUISITION CORPORATION
2 MANHATTANVILLE ROAD SUITE 403

(Street)
PURCHASE NY 10577

(City) (State) (Zip)
1. Name and Address of Reporting Person*
MJG Partners LLC

(Last) (First) (Middle)
C/O CHW ACQUISITION CORPORATION
2 MANHATTANVILLE ROAD SUITE 403

(Street)
PURCHASE NY 10577

(City) (State) (Zip)
1. Name and Address of Reporting Person*
CHW Founders LLC

(Last) (First) (Middle)
C/O CHW ACQUISITION CORPORATION
2 MANHATTANVILLE ROAD SUITE 403

(Street)
PURCHASE NY 10577

(City) (State) (Zip)
Explanation of Responses:
1. As described in CHW Acquisition Corporation's (the "Issuer") registration statement on Form S-1 (File No. 333-254422), as amended (the "Registration Statement"), such amount includes 412,500 ordinary shares, par value $0.0001 per share (the "Ordinary Shares"), of the Issuer subject to forfeiture to the extent that the underwriters do not fully or partially exercise their over-allotment option in the Issuer's initial public offering of its securities.
2. CHW Acquisition Sponsor LLC, a Delaware limited liability company (the "Sponsor"), is the record holder of such ordinary shares. CHW Founders LLC, a Delaware limited liability company ("Founders"), is the sole managing member of the Sponsor. MJG Partners LLC, a New Jersey limited liability company ("MJG"), is the sole managing member of the Founders.
3. Mr. Grundman is the sole manager of MJG. As such, Founders, MJG, and Mr. Grundman share voting and investment discretion with respect to the Ordinary Shares held of record by the Sponsor and may be deemed to have shared beneficial ownership of such Ordinary Shares held directly by the Sponsor. Founders, MJG, and Mr. Grundman each disclaim beneficial ownership of any Ordinary Shares other than to the extent each of them may have a pecuniary interest therein, directly or indirectly. The filing of this statement shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or otherwise, the Reporting Persons are the beneficial owners of any securities reported herein.
/s/ Mark Grundman 08/30/2021
MJG Partners, LLC By: /s/ Mark Grundman, Manage 08/30/2021
CHW Founders LLC By: MJG Partners, LLC, its Sole Managing Member By: Mark Grundman, Manager 08/30/2021
** 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).
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