Sec Form 4 Filing - Hwang Kuk Hyoun @ Bellevue Life Sciences Acquisition Corp. - 2023-02-14

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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1. Name and Address of Reporting Person
Hwang Kuk Hyoun
2. Issuer Name and Ticker or Trading Symbol
Bellevue Life Sciences Acquisition Corp. [ BLAC]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Executive Officer
(Last) (First) (Middle)
10900 NE 4TH STREET, SUITE 2300
3. Date of Earliest Transaction (MM/DD/YY)
02/14/2023
(Street)
BELLEVUE, WA98004
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 02/14/2023 J( 2 ) 20,000 D ( 2 ) $ 0 1,705,000 ( 1 ) ( 2 ) I By Bellevue Global Life Sciences Investors LLC
Common Stock 02/14/2023 J( 3 ) 20,000 D ( 3 ) $ 0 1,685,000 ( 1 ) ( 3 ) I By Bellevue Global Life Sciences Investors LLC
Common Stock 02/14/2023 J( 4 ) 20,000 D ( 4 ) $ 0 1,665,000 ( 1 ) ( 4 ) I By Bellevue Global Life Sciences Investors LLC
Common Stock 02/14/2023 J( 5 ) 20,000 D ( 5 ) $ 0 1,645,000 ( 1 ) ( 5 ) I By Bellevue Global Life Sciences Investors LLC
Common Stock 02/14/2023 J( 6 ) 20,000 D ( 6 ) $ 0 1,625,000 ( 1 ) ( 6 ) I By Bellevue Global Life Sciences Investors LLC
Common Stock 02/14/2023 J( 7 ) 225,000 D ( 7 ) $ 0 1,400,000 ( 1 ) ( 7 ) I By Bellevue Global Life Sciences Investors LLC
Common Stock 02/14/2023 J( 8 ) 30,000 D ( 8 ) $ 0 1,370,000 ( 1 ) ( 8 ) I By Bellevue Global Life Sciences Investors LLC
Common Stock 02/14/2023 A( 9 ) 430,000 A ( 9 ) $ 10 1,800,000 ( 1 ) ( 9 ) I By Bellevue Global Life Sciences Investors LLC
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Private Placement Warrants $ 11.5 02/14/2023 P 430,000 ( 10 ) ( 10 ) Common Stock ( 10 ) 430,000 ( 10 ) $ 10 430,000 ( 10 ) I By Bellevue Global Life Sciences Investors LLC
Warrant for Common Stock $ 11.5 02/14/2023 J( 11 ) 20,000 ( 11 ) ( 11 ) Common Stock 20,000 $ 0 410,000 I By Bellevue Global Life Sciences Investors LLC
Warrant for Common Stock $ 11.5 02/14/2023 J( 12 ) 20,000 ( 12 ) ( 12 ) Common Stock 20,000 $ 0 390,000 I By Bellevue Global Life Sciences Investors LLC
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Hwang Kuk Hyoun
10900 NE 4TH STREET, SUITE 2300
BELLEVUE, WA98004
X X Chief Executive Officer
Signatures
/s/ Kuk Hyoun Hwang 02/16/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents shares of common stock held by Bellevue Global Life Sciences Investors LLC the sponsor of the Issuer (the "Sponsor"), whose general partner is Bellevue Capital Management LLC ("Bellevue Capital"). Kuk Hyoun Hwang is the managing partner of Bellevue Capital and has voting and dispositive power over the shares held by the Sponsor.
( 2 )Represents the shares transferred by the Sponsor to Mr. Jin Whan Park for his board service.
( 3 )Represents the shares transferred by the Sponsor to Mr. Steven Reed for his board service.
( 4 )Represents the shares transferred by the Sponsor to Mr. In Chul Chung for his board service.
( 5 )Represents the shares transferred by the Sponsor to Mr. Husun Euh for his board service.
( 6 )Represents the shares transferred by the Sponsor to Mr. Rad Roberts for his board service.
( 7 )Represents the shares that were forfeited as a result of the underwriters' not exercising their over-allotment option.
( 8 )Represents the shares transferred by the Sponsor to t he underwriters.
( 9 )The Sponsor purchased an aggregate of 430,000 Private Placement Units at a price of $10.00 per Private Placement Unit in a private placement that occurred simultaneously with the consummation of the Issuer's Public Offering. Each Private Placement Unit consists of one share of Common Stock, one redeemable warrant entitling the holder to purchase one share of Common Stock, and one right which entitles the holder thereof to receive one-tenth (1/10) of a share of common stock.
( 10 )The Sponsor purchased an aggregate of 430,000 Private Placement Units at a price of $10.00 per Private Placement Unit in a private placement that occurred simultaneously with the consummation of the Issuer's Public Offering. Each Private Placement Unit consists of one share of Common Stock, one redeemable warrant entitling the holder to purchase one share of Common Stock, and one right which entitles the holder thereof to receive one-tenth (1/10) of a share of common stock. The Private Placement Warrants are exercisable only to purchase whole shares of Common Stock at an exercise price of $11.50 per share, subject to adjustments. Each warrant will become exercisable 30 days after the Issuer's Public Offering. Each warrant will expire five years after the completion of the Issuer's Public Offering, or earlier upon redemption or liquidation.
( 11 )Represents the warrant to purchase a total of 20,000 shares of the Issuer, transferred from the Sponsor to Dr. In Chul Chung for his service as Chairman of the Audit Committee.
( 12 )Represents the warrant to purchase a total of 20,000 shares of the Issuer, transferred from the Sponsor to Mr. Steven Reed for his service as Chairman of the Board of Directors.

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