Statement of Changes in Beneficial Ownership (4)
May 20 2020 - 4:02PM
Edgar (US Regulatory)
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 OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
|
1. Name and Address of Reporting Person
*
Coliseum Capital Management, LLC |
2. Issuer Name and Ticker or Trading Symbol
Lazydays Holdings, Inc.
[
LAZY
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
|
|
(Last)
(First)
(Middle)
105 ROWAYTON AVE. |
3. Date of Earliest Transaction
(MM/DD/YYYY)
5/18/2020 |
|
(Street)
ROWAYTON, CT 06853
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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 Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security
(Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. 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 | 5/18/2020 | | P | | 150000 | A | $4.00 | 603767 | I | See footnotes (1)(2)(3) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 7. Title and Amount of Securities Underlying Derivative Security
(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 |
| Explanation of Responses: |
| (1) | The common stock, par value $0.0001 per share (the "Common Stock"), is held directly by (a) Coliseum Capital Partners, L.P. ("CCP"), an investment limited partnership of which Coliseum Capital, LLC, a Delaware limited liability company ("CC"), is general partner and for which Coliseum Capital Management, LLC, a Delaware limited liability company ("CCM"), serves as investment adviser and (b) a separate account investment advisory client of CCM (the "Separate Account"). |
| (2) | Christopher Shackelton ("Shackelton") and Adam Gray ("Gray") are managers of and have an ownership interest in each of CCM and CC. Each of Shackelton, Gray, CCP, the Separate Account, CC and CCM disclaims beneficial ownership of these securities except to the extent of that person's pecuniary interest therein. |
| (3) | Following the transactions reported herein, CCP and the Separate Account directly owned 450,154 and 153,613 shares of Common Stock, respectively. |
Remarks:
Shackelton is a director of the Issuer. As a result, the following persons may be deemed directors by deputization of the Issuer solely for purposes of Section 16 of the Securities Exchange Act of 1934, as amended: CCM, CC, CCP, and Gray. |
Reporting Owners
|
| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Coliseum Capital Management, LLC
105 ROWAYTON AVE.
ROWAYTON, CT 06853 | X | X |
|
|
Coliseum Capital, LLC
105 ROWAYTON AVE.
ROWAYTON, CT 06853 | X | X |
|
|
COLISEUM CAPITAL PARTNERS, L.P.
105 ROWAYTON AVE.
ROWAYTON, CT 06853 | X | X |
|
|
Gray Adam
105 ROWAYTON AVE.
ROWAYTON, CT 06853 | X | X |
|
|
Shackelton Christopher S
105 ROWAYTON AVE.
ROWAYTON, CT 06853 | X | X |
|
|
Signatures
|
| Coliseum Capital Management, LLC, By: /s/ Chivonne Cassar, Attorney-in-fact | | 5/20/2020 |
| **Signature of Reporting Person | Date |
| Coliseum Capital, LLC, By: /s/ Chivonne Cassar, Attorney-in-fact | | 5/20/2020 |
| **Signature of Reporting Person | Date |
| Coliseum Capital Partners, L.P., By: Coliseum Capital, LLC, its General Partner, By: /s/ Chivonne Cassar, Attorney-in-fact | | 5/20/2020 |
| **Signature of Reporting Person | Date |
| Adam Gray, By: /s/ Chivonne Cassar, Attorney-in-fact | | 5/20/2020 |
| **Signature of Reporting Person | Date |
| Christopher Shackelton, By: /s/ Chivonne Cassar, Attorney-in-fact | | 5/20/2020 |
| **Signature of Reporting Person | Date |
Lazydays (PK) (USOTC:LAZYW)
Historical Stock Chart
From Apr 2024 to May 2024
Lazydays (PK) (USOTC:LAZYW)
Historical Stock Chart
From May 2023 to May 2024
