SEC Form 4 · accession 0001493152-18-003970
Lazydays Holdings, Inc. · LAZY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bryan T Rich Jr.
Director
Period of report
Mar 23, 2018
Accepted (ET)
Mar 27, 2018 · 4:30 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F2 | $11.10 | Mar 23, 2018 | J | 14,218 | D | — | Mar 16, 2023 | Common Stock | 14,218 | 0 | D |
Explanation of responses
- F1The stock options were cancelled by mutual agreement of the reporting person and Lazydays Holdings, Inc. as the stock options were inadvertently issued to the reporting person directly but should have been issued to Wayzata Opportunities Fund II, LP and Wayzata Opportunities Fund Offshore II, LP (collectively, the "Wayzata Funds") pursuant to an arrangement between the reporting person and the investment adviser to the Wayzata Funds. The reporting person did not receive any consideration for the cancellation of the stock options.
- F2The stock options were scheduled to vest 33% on March 16, 2019, 33% on March 16, 2020 and 34% on March 16, 2021.