Initial Statement of Beneficial Ownership (3)
October 25 2021 - 5:59PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
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Natauri Jo |
2. Date of Event Requiring Statement (MM/DD/YYYY)
10/20/2021
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3. Issuer Name and Ticker or Trading Symbol
Mirion Technologies, Inc. [MIR]
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(Last)
(First)
(Middle)
1218 MENLO DRIVE |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Street)
ATLANTA, GA 30318
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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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) |
Common Stock (1) | 50000 | I | See Footnote (1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 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) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Employee Fund Interests | (2) | (2) | Common Stock | 300000 | (2) | I | See Footnote (2) |
Explanation of Responses: |
(1) | Represents certain shares of Class A Common Stock of the Issuer ("Common Stock") held by GSAH II PIPE Investors Employee LP, a limited partnership controlled by its general partner and its investment manager and an indirect wholly-owned subsidiary of The Goldman Sachs Group, Inc., over which the Reporting Person maintains indirect investment power. The Reporting Person disclaims beneficial ownership of these shares of Common Stock except to the extent of her pecuniary interest therein. |
(2) | GS Acquisition Holdings II Employee Participation 2 LLC has awarded certain interests (the "Employee Fund Interests") to certain individuals associated with affiliates of GSAM Holdings LLC, including the Reporting Person. The Employee Fund Interests entitle the holders thereof to certain economic interests with respect to shares of Common Stock held by GS Acquisition Holdings II Employee Participation 2 LLC. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Natauri Jo 1218 MENLO DRIVE ATLANTA, GA 30318 | X |
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Signatures
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/s/ Emmanuelle Lee, attorney-in-fact | | 10/22/2021 |
**Signature of Reporting Person | Date |
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