0001013762-21-000019.txt : 20211004 0001013762-21-000019.hdr.sgml : 20211004 20211004160754 ACCESSION NUMBER: 0001013762-21-000019 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210909 FILED AS OF DATE: 20211004 DATE AS OF CHANGE: 20211004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TAMER ANTHONY CENTRAL INDEX KEY: 0001050045 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39802 FILM NUMBER: 211302769 MAIL ADDRESS: STREET 1: 1001 SOUTH BAYSHORE DRIVE STREET 2: STE 2708 CITY: MIAMI STATE: FL ZIP: 33131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MNAYMNEH SAMI CENTRAL INDEX KEY: 0001050046 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39802 FILM NUMBER: 211302768 MAIL ADDRESS: STREET 1: 1001 SOUTH BAYSHORE DRIVE STREET 2: STE 2708 CITY: MIAMI STATE: FL ZIP: 33131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: H.I.G. Ventures - Clarus, LLC CENTRAL INDEX KEY: 0001512060 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39802 FILM NUMBER: 211302773 BUSINESS ADDRESS: STREET 1: 1450 BRICKELL AVENUE STREET 2: 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 BUSINESS PHONE: 305-379-2322 MAIL ADDRESS: STREET 1: 1450 BRICKELL AVENUE STREET 2: 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: H.I.G. Bio-Clarus II, L.P. CENTRAL INDEX KEY: 0001885010 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39802 FILM NUMBER: 211302772 BUSINESS ADDRESS: STREET 1: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 BUSINESS PHONE: 305-379-2322 MAIL ADDRESS: STREET 1: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: H.I.G.-GPII, Inc. CENTRAL INDEX KEY: 0001788482 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39802 FILM NUMBER: 211302770 BUSINESS ADDRESS: STREET 1: C/O EXAGEN INC. STREET 2: 1261 LIBERTY WAY, SUITE C CITY: VISTA STATE: CA ZIP: 92081 BUSINESS PHONE: (760) 560-1501 MAIL ADDRESS: STREET 1: C/O EXAGEN INC. STREET 2: 1261 LIBERTY WAY, SUITE C CITY: VISTA STATE: CA ZIP: 92081 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: H.I.G. Bio-Clarus I, L.P. CENTRAL INDEX KEY: 0001884997 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39802 FILM NUMBER: 211302771 BUSINESS ADDRESS: STREET 1: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 BUSINESS PHONE: 305-379-2322 MAIL ADDRESS: STREET 1: 1450 BRICKELL AVENUE, 31ST FLOOR CITY: MIAMI STATE: FL ZIP: 33131 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Clarus Therapeutics Holdings, Inc. CENTRAL INDEX KEY: 0001817944 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 851231852 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 555 SKOKIE BOULEVARD, SUITE 340 CITY: NORTHBROOK STATE: IL ZIP: 60062 BUSINESS PHONE: (847) 562-4300 MAIL ADDRESS: STREET 1: 555 SKOKIE BOULEVARD, SUITE 340 CITY: NORTHBROOK STATE: IL ZIP: 60062 FORMER COMPANY: FORMER CONFORMED NAME: Blue Water Acquisition Corp. DATE OF NAME CHANGE: 20200713 3 1 ownership.xml X0206 3 2021-09-09 1 0001817944 Clarus Therapeutics Holdings, Inc. CRXT 0001512060 H.I.G. Ventures - Clarus, LLC C/O H.I.G. CAPITAL, 1450 BRICKELL AVE., SUITE 3100 MIAMI FL 33131 0 0 1 0 0001885010 H.I.G. Bio-Clarus II, L.P. C/O H.I.G. CAPITAL, 1450 BRICKELL AVE., SUITE 3100 MIAMI FL 33131 0 0 1 0 0001884997 H.I.G. Bio-Clarus I, L.P. C/O H.I.G. CAPITAL, 1450 BRICKELL AVE., SUITE 3100 MIAMI FL 33131 0 0 1 0 0001788482 H.I.G.-GPII, Inc. C/O H.I.G. CAPITAL, 1450 BRICKELL AVE., SUITE 3100 MIAMI FL 33131 0 0 1 0 0001050045 TAMER ANTHONY 1001 SOUTH BAYSHORE DRIVE STE 2708 MIAMI FL 33131 0 0 1 0 0001050046 MNAYMNEH SAMI C/O H.I.G. CAPITAL, 1450 BRICKELL AVE., SUITE 3100 MIAMI FL 33131 0 0 1 0 H.I.G. Ventures - Clarus LLC By: H.I.G.-GP II, Inc., its manager By: /s/ Richard Siegel _Title: Authorized Signatory 2021-10-04 H.I.G. Bio - Clarus II, L.P. By: H.I.G.-GP II, Inc., its general partner By: /s/ Richard Siegel Title: Authorized Signatory 2021-10-04 H.I.G. Bio - Clarus I, L.P. By: H.I.G.-GP II, Inc., its general partner By: /s/ Richard Siegel Title: Authorized Signatory 2021-10-04 H.I.G.-GP II, Inc. By: /s/ Richard Siegel Title: Authorized Signatory 2021-10-04 By: /s/ Anthony Tamer 2021-10-04 By: /s/ Sami Mnaymneh 2021-10-04