SEC Form 4 · accession 0001493152-18-003604
Lazydays Holdings, Inc. · LAZY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Maura Berney
Officer — Chief Financial Officer
Period of report
Mar 15, 2018
Accepted (ET)
Mar 19, 2018 · 8:32 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001721741
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 15, 2018 | A | 6,428 | $0.00 | A | 6,428 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The Shares were granted to the Reporting Person in exchange for the cancellation of stock options in Lazy Days' R.V. Center, Inc. pursuant to the Agreement and Plan of Merger, dated as of October 27, 2017, by and among Andina II Holdco Corp. (the predecessor to the Issuer), Andina Acquisition Corp. II, Andina II Merger Sub, Inc., Lazy Days' R.V. Center, Inc. and the other signatories party thereto.