SEC Form 4 · accession 0001213900-17-007462
Conyers Park Acquisition Corp. · CPAA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James E Healey
Director
Period of report
Jul 7, 2017
Accepted (ET)
Jul 11, 2017 · 8:30 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001672985
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Jul 7, 2017 | D | 5,000 | — | D | 0 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF1 | — | Jul 7, 2017 | D | 25,000 | D | — | — | Class A Common Stock | 25,000 | 0 | D |
Explanation of responses
- F1In connection with the merger of Conyers Park Acquisition Corp. (the "Issuer") with and into a subsidiary of The Simply Good Foods Company ("SGFC"), and a series of related transactions (collectively, the "Business Combination"), the Reporting Person exchanged his Class A common stock, par value $0.0001 per share, and his Class B common stock, par value $0.0001 per share, of the Issuer and for common stock, par value $0.01 per share, of SGFC. Upon consummation of the Business Combination, the Reporting Person will no longer be subject to the reporting requirements of Section 16 with respect to the Issuer's securities.
Remarks
Exhibit 24: Power of Attorney