SEC Form 4 · accession 0001209191-18-013129
ConvergeOne Holdings, Inc. · CVON
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Boris
Director
Period of report
Feb 22, 2018
Accepted (ET)
Feb 23, 2018 · 5:51 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 | 874,453 | — | A | 874,453 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant (Right to Buy)F3,F4 | $11.50 | Feb 22, 2018 | J | 12,500 | A | Apr 12, 2018 | Feb 22, 2023 | Common Stock | 12,500 | 12,500 | D |
Explanation of responses
- F1David Boris received 874,453 shares of Common Stock of the Issuer as result of stock transfer made by Forum Investors I, LLC on February 22, 2018.
- F2David Boris received a warrant to purchase up to 12,500 shares of Common Stock of the Issuer as result of transfer made by Forum Investors I, LLC on February 22, 2018.
- F3The warrant will become exercisable 12 months from the closing of the Issuer's initial public offering, which occurred on April 12, 2017.
- F4The 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 Issuer, 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.