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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrants to purchase Common Stock | $ 11.5 | 11/05/2018 | D | 6,750,000 | 12/05/2018 | 11/05/2023 | Common Stock | 6,750,000 | $ 0 (1) | 0 | I | See footnote (2). (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Cody David 138 CONANT STREET BEVERLY, MA 01915 |
X |
David Cody | 11/07/2018 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Disposed of pursuant to the Letter Agreement, dated as of June 23, 2018 (as amended by the First Amendment to Agreement and Plan of Merger and Sponsor Letter on August 29, 2018), by and among Easterly Acquisition Corp. ("Easterly"), Easterly Acquisition Sponsor, LLC (the "Sponsor"), Sirius International Insurance Group, Ltd. ("Sirius Group") and CM Bermuda Ltd., pursuant to which the Sponsor forfeited 3,375,677 shares of Easterly common stock and 6,750,000 private placement warrants to acquire shares of Easterly common stock for no consideration at the closing of the merger of Easterly with a subsidiary of Sirius Group. |
(2) | The common stock and warrants are held directly by the Sponsor. David Cody, Darrell Crate and Avshalom Kalichstein together have sole voting and investment power over the shares held by the Sponsor. |