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MoneyLion Inc.

06/29/2022 | Press release | Distributed by Public on 06/29/2022 16:21

Annual Statement of Changes in Beneficial Ownership (Form 5)

Ownership Submission
FORM 5
Check this box if no longer subject to Section 16, Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Form 3 Holdings Reported
Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN 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 *
DSouza Rohit
2. Issuer Name and Ticker or Trading Symbol
MONEYLION INC. [ML] 		5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
/ Formerly 10% Owner
(Last) (First) (Middle)
C/O MONEYLION INC. , 30 WEST 21ST STREET, 9TH FLOOR
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
2021-12-31
(Street)
NEW YORK NY 10010
4. If Amendment, Date Original Filed(Month/Day/Year)
 6. Individual or Join/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ 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 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code 4. Securities Acquired (A) or Disposed of (D) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) 6. Ownership Form: Direct (D) or Indirect (I) 7. Nature of Indirect Beneficial Ownership
Amount (A) or (D) Price
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code 5. Number of Derivative Securities Acquired (A) or Disposed of (D) 6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security 8. Price of Derivative Security 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) 11. Nature of Indirect Beneficial Ownership
(A) (D) Date Exercisable Expriation Date Title Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
DSouza Rohit
C/O MONEYLION INC.
30 WEST 21ST STREET, 9TH FLOOR
NEW YORK, NY10010 		Formerly 10% Owner
RDS MoneyLion Holdings I, LLC
C/O MONEYLION INC.
30 WEST 21ST STREET, 9TH FLOOR
NEW YORK, NY10010 		Formerly 10% Owner
Bear Creek Ventures LLC
C/O MONEYLION INC.
30 WEST 21ST STREET, 9TH FLOOR
NEW YORK, NY10010 		Formerly 10% Owner
Telluride Capital Ventures LLC
C/O MONEYLION INC.
30 WEST 21ST STREET, 9TH FLOOR
NEW YORK, NY10010 		Formerly 10% Owner

Signatures

/s/ Rohit M. D'Souza 2022-06-29
**Signature of Reporting Person Date
/s/ Rohit M. D'Souza, Manager of RDS MoneyLion Holdings I, LLC 2022-06-29
**Signature of Reporting Person Date
/s/ Rohit M. D'Souza, Managing Member of Bear Creek Ventures, LLC 2022-06-29
**Signature of Reporting Person Date
/s/ Rohit M. D'Souza, General Managing Member of Telluride Capital Ventures, LLC 2022-06-29
**Signature of Reporting Person Date

Explanation of Responses:

(*) 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure.Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.