SEC Form 4 · accession 0000899243-18-005535
ConvergeOne Holdings, Inc. · CVON
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven Berns
Other
Period of report
Feb 22, 2018
Accepted (ET)
Feb 26, 2018 · 6:57 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001697152
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 22, 2018 | J | 26,125 | $0.00 | D | 26,125 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF1,F2,F3 | $11.50 | Feb 22, 2018 | J | 2,500 | A | Apr 12, 2018 | Feb 22, 2023 | Common Stock | 2,500 | 2,500 | D |
Explanation of responses
- F1Represents receipt of the reporting person's pro rata distribution of the shares of common stock and warrants of the registrant held by Forum Investors I, LLC.
- F2The warrant will become exercisable 12 months from the closing of the registrant's initial public offering, which occurred on April 12, 2017.
- F3The warrant will expire five years after the completion of that certain Agreement and Plan of Merger, dated as of November 30, 2017, by and among the registrant, FMC Merger Subsidiary Corp., FMC Merger Subsidiary LLC, Old C1 and Clearlake Capital Management III, L.P. in the capacity as the Seller Representative, or earlier upon redemption.
Remarks
Mr. Berns resigned as a Director of the registrant effective February 22, 2018.