0000921895-21-001808.txt : 20210706 0000921895-21-001808.hdr.sgml : 20210706 20210706212122 ACCESSION NUMBER: 0000921895-21-001808 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20210706 DATE AS OF CHANGE: 20210706 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gorzynski Michael CENTRAL INDEX KEY: 0001812551 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35210 FILM NUMBER: 211076090 MAIL ADDRESS: STREET 1: 595 MADISON AVE STREET 2: FLOOR 29 CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HC2 HOLDINGS, INC. CENTRAL INDEX KEY: 0001006837 STANDARD INDUSTRIAL CLASSIFICATION: FABRICATED STRUCTURAL METAL PRODUCTS [3440] IRS NUMBER: 541708481 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 295 MADISON AVENUE STREET 2: 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-235-2690 MAIL ADDRESS: STREET 1: 295 MADISON AVENUE STREET 2: 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 FORMER COMPANY: FORMER CONFORMED NAME: HC2 Holdings, Inc. DATE OF NAME CHANGE: 20140415 FORMER COMPANY: FORMER CONFORMED NAME: PTGi HOLDING, INC. DATE OF NAME CHANGE: 20131108 FORMER COMPANY: FORMER CONFORMED NAME: PRIMUS TELECOMMUNICATIONS GROUP INC DATE OF NAME CHANGE: 19960814 4 1 form412866002_07062021.xml OWNERSHIP DOCUMENT X0306 4 2021-07-01 0 0001006837 HC2 HOLDINGS, INC. HCHC 0001812551 Gorzynski Michael 595 MADISON AVE FLOOR 29 NEW YORK NY 10022 1 0 1 0 Series A-3 Convertible Preferred Stock 3.5187 2021-07-01 4 J 0 6125 A 2026-07-01 Common Stock, par value $0.001 per share 1764357 6125 I By: Continental General Insurance Co Series A-4 Convertible Preferred Stock 5.3318 2021-07-01 4 J 0 10000 A 2026-07-01 Common Stock, par value $0.001 per share 1875539 10000 I By: Continental General Insurance Co The securities reported herein were indirectly acquired upon the closing of the purchase of Continental Insurance Group Ltd. ("CIG") by Continental General Holdings LLC ("CGH") pursuant to that certain Stock Purchase Agreement, dated as of March 26, 2021, by and among HC2 Holdings 2, Inc., CGH and CIG, as further described in the reporting person's Amendment No. 8 to Schedule 13D filed with the Securities Exchange Commission on July 2, 2021. The reporting person, CIG, CGH, Continental General Insurance Company ("CGIC"), Continental LTC, Inc. ("CLTC") and certain other persons may be deemed to be members of a Section 13(d) group that beneficially owns more than 10% of the Issuer's outstanding Common Stock. The securities reported herein are directly held by CGIC. CLTC serves as the sole owner of CGIC. CIG serves as the sole owner of CLTC and the indirect parent operating company of CGIC. CGH serves as an investment holding company and the sole owner of CIG. Mr. Gorzynski is a manager and Executive Chairman, and sole owner, of CGH. By virtue of the foregoing relationships, Mr. Gorzynski may be deemed to beneficially own the shares beneficially owned directly by CGIC. Continued from footnote 1: The reporting person disclaims beneficial ownership of the shares of Common Stock of the Issuer beneficially owned directly by the other members of the Section 13(d) group except to the extent of his pecuniary interest therein. The Series A-3 Convertible Preferred Stock and the Series A-4 Convertible Preferred Stock are exercisable at any time at the option of the holder. By: /s/ Michael Gorzynski 2021-07-06