SEC Form 4 · accession 0000899681-18-000043
Lazydays Holdings, Inc. · LAZY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Wayzata Investment Partners LLC
10% Owner
WAYZATA OPPORTUNITIES FUND II, L.P.
10% Owner
Patrick J. Halloran
10% Owner
Period of report
Mar 23, 2018
Accepted (ET)
Mar 27, 2018 · 5:02 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001721741
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Call Option (right to buy)F3,F4,F2 | $10.40 | Mar 23, 2018 | J | 13,211 | A | — | Mar 23, 2023 | Common Stock | 13,211 | 13,211 | I |
| Call Option (right to buy)F3,F5,F2 | $10.40 | Mar 23, 2018 | J | 1,912 | A | — | Mar 23, 2023 | Common Stock | 1,912 | 1,912 | I |
Explanation of responses
- F1See Exhibit 99
- F2See Exhibit 99
- F3See Exhibit 99
- F4See Exhibit 99
- F5See Exhibit 99