SEC Form 4 · accession 0000921895-16-003019
BLOOMIA HOLDINGS, INC. · TULP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
BIGLARI CAPITAL CORP.
10% Owner
Sardar Biglari
Director · 10% Owner
LION FUND II, L.P.
10% Owner
Period of report
Jan 13, 2016
Accepted (ET)
Jan 15, 2016 · 5:35 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000875355
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.01F1,F2 | holding | — | — | — | 2,313,200 | I | By The Lion Fund II, L.P. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to Purchase | $2.90 | Jan 13, 2016 | A | 10,000 | A | Jan 13, 2016 | Jan 13, 2026 | Common stock | 10,000 | 10,000 | D |
Explanation of responses
- F1This Form 4 is filed jointly by The Lion Fund II, L.P. (the "Lion Fund II"), Biglari Capital Corp. ("BCC") and Sardar Biglari. Each of the Lion Fund II, BCC and Mr. Biglari is a member of a Section 13(d) group that owns more than 10% of the Issuer's outstanding shares of Common Stock. Each of the Lion Fund II, BCC and Mr. Biglari disclaims beneficial ownership of the shares of Common Stock reported herein except to the extent of its or his pecuniary interest therein.
- F2Shares owned directly by the Lion Fund II. BCC is the general partner of the Lion Fund II. Mr. Biglari is the Chairman and Chief Executive Officer of BCC and has investment discretion over the securities owned by the Lion Fund II. By virtue of these relationships, BCC and Mr. Biglari may be deemed to beneficially own the shares of Common Stock of the Issuer owned directly by the Lion Fund II.