UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Warrants (2) | Â (3) | 10/10/2010 | Common Stock | 666,668 | $ 5 | I | Fortissimo Capital Fund GP, L.P. (1) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Blatt Eli C/O FORTISSIMO ACQUISITION CORP 14 HAMELACHA STREET PARK AFEK, ROSH HA'AYIN, L3 48091 |
 X |  X |  CFO and Secretary |  |
/s/ Alak Goswami, as attorney-in-fact for Eli Blatt | 10/11/2006 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Eli Blatt is a partner of FCF, and may therefore be deemed to be beneficial holders of the shares held by FCF. Mr. Cohen disclaims beneficial ownership of the shares held by FCF, except to the extent of their pecuniary interest therein. |
(2) | The reported securities are included within 333,334 Units that will be purchased by Fortissimo Capital Fund GP, L.P. for $6.00 per Unit on a private placement basis simultaneously with the consummation of the initial public offering of Fortissimo Acquisition Corp. Each Unit consists of one share of Common Stock and two Warrants, each to purchase one share of Common Stock. |
(3) | The Warrants will become exercisable on the later of the completion of a business combination with a target business or October 11, 2007. |