SEC Form 4 · accession 0000950142-17-002162
Mosaic Acquisition Corp. · MOSC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tyler Kolarik
Director
Period of report
Dec 4, 2017
Accepted (ET)
Dec 6, 2017 · 4:12 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001713952
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Ordinary ShareF1 | Dec 4, 2017 | P$0 | 5,000 | — | A | 5,000 | 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 | $11.50 | Dec 4, 2017 | P | 1,667 | A | — | — | Class A Ordinary Share | 1,667 | 1,667 | D |
Explanation of responses
- F1On December 4, 2017, Mr. Kolarik acquired, at a price of $10.12 per unit, 5,000 units, with each unit consisting of (i) one Class A ordinary share, par value $0.0001 per share (the "Class A Shares"), of Mosaic Acquisition Corp. (the "Company") and (ii) one-third of one warrant (the "Warrants").
- F2Each whole Warrant is initially exercisable for one Class A Share at an exercise price of $11.50 per Class A Share, subject to certain adjustments. The Warrants may be exercised only during the period (i) commencing on the later of (a) date that is 30 days after the first date on which the Company completes a business combination and (b) October 23, 2018 and (ii) expiring five years after the completion of the Company's business combination or earlier upon redemption or liquidation.