0001213900-17-006077.txt : 20170601 0001213900-17-006077.hdr.sgml : 20170601 20170601200954 ACCESSION NUMBER: 0001213900-17-006077 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170601 FILED AS OF DATE: 20170601 DATE AS OF CHANGE: 20170601 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KBL MERGER CORP. IV CENTRAL INDEX KEY: 0001690080 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 813832378 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 150 WEST 56TH STREET SUITE 5901 CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: 212-319-5555 MAIL ADDRESS: STREET 1: 150 WEST 56TH STREET SUITE 5901 CITY: NEW YORK STATE: NY ZIP: 10019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HORNIG GEORGE R CENTRAL INDEX KEY: 0001049488 STANDARD INDUSTRIAL CLASSIFICATION: FORESTRY [0800] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38105 FILM NUMBER: 17886170 MAIL ADDRESS: STREET 1: 625 MADISON AVE SUITE 10-B CITY: NEW YORK STATE: NY ZIP: 10017 3 1 f3060117hornig_kblmerger.xml OWNERSHIP DOCUMENT X0206 3 2017-06-01 0 0001690080 KBL MERGER CORP. IV KBLMU 0001049488 HORNIG GEORGE R 527 STANTON CHRISTIANA RD. NEWARK DE 19713 1 0 0 0 No securities beneficially owned 0 D Mr. Hornig does not beneficially own any shares of common stock of the issuer. However, Mr. Hornig has a pecuniary interest in shares of common stock through his ownership of membership interests of KBL IV Sponsor LLC. /s/ George Hornig 2017-06-01