SEC Form 4 · accession 0001209191-15-044334
Fenix Parts, Inc. · FENX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David A Gold
Officer — Executive Vice President
Period of report
May 19, 2015
Accepted (ET)
May 19, 2015 · 3:19 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001615153
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Exchangeable Preferred Shares of Fenix Parts Canada, Inc.F2 | $0.00 | May 19, 2015 | J | 555,556 | A | May 19, 2015 | — | Common Stock | 555,556 | 555,556 | I |
Explanation of responses
- F1These shares consist of the stock portion of the consideration paid to Goldy Metals (Ottawa) Incorporated, one of the issuer's founding companies of which the reporting person is a 100% owner, pursuant to the Amended and Restated Combination Agreement dated November 10, 2014 entered into by Fenix Parts, Inc., Fenix Parts Canada, Inc., David A. Gold, Kenneth L. Gold; and Goldy Metals Incorporated, an Ontario corporation; End of Life Vehicles Inc., an Ontario corporation; Goldy Metals (Ottawa) Incorporated, an Ontario corporation; and 2434861 Ontario Inc., an Ontario corporation. The Exchangeable Shares of Fenix Parts Canada, Inc. are convertible at any time into the same number of shares of the issuer's common stock.
- F2None