0001104659-19-063570.txt : 20191113
0001104659-19-063570.hdr.sgml : 20191113
20191113213927
ACCESSION NUMBER: 0001104659-19-063570
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191108
FILED AS OF DATE: 20191113
DATE AS OF CHANGE: 20191113
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BARASCH RICHARD A
CENTRAL INDEX KEY: 0001076341
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38399
FILM NUMBER: 191216067
MAIL ADDRESS:
STREET 1: C/O UNIVERSAL AMERICAN FINANCIAL CORP
STREET 2: SIX INTERNATIONAL DRIVE SUITE 190
CITY: RYE BROOK
STATE: NY
ZIP: 10573
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AdaptHealth Corp.
CENTRAL INDEX KEY: 0001725255
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 823677704
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 220 WEST GERMANTOWN PIKE
STREET 2: SUITE 250
CITY: PLYMOUTH MEETING
STATE: PA
ZIP: 19462
BUSINESS PHONE: 610-630-6357
MAIL ADDRESS:
STREET 1: 220 WEST GERMANTOWN PIKE
STREET 2: SUITE 250
CITY: PLYMOUTH MEETING
STATE: PA
ZIP: 19462
FORMER COMPANY:
FORMER CONFORMED NAME: DFB Healthcare Acquisitions Corp.
DATE OF NAME CHANGE: 20171213
4
1
a4.xml
4
X0306
4
2019-11-08
0
0001725255
AdaptHealth Corp.
AHCO
0001076341
BARASCH RICHARD A
C/O ADAPTHEALTH HOLDING CORPORATION
780 THIRD AVENUE, 37TH FLOOR
NEW YORK
NY
10017
1
0
0
0
Common Stock
2019-11-08
4
J
0
2373152
0.0
D
3672500
I
See Footnote
Private Placement Warrant
11.5
2019-11-08
4
J
0
1690000
0.0
D
2019-12-08
2024-11-08
Common Stock
1690000
2643333
I
See Footnote
Pursuant to the Amended and Restated Assignment Letter Agreement dated October 15, 2019, by and among Deerfield/RAB Ventures, LLC (the "Sponsor"), DFB Healthcare Acquisitions Corp. ("DFB") and AdaptHealth Holdings, LLC ("AdaptHealth"), the Sponsor transferred and assigned 2,373,152 of its founder shares of DFB and 1,690,000 warrants to purchase shares of DFB's Class A Common Stock held by the Sponsor to certain members and employees of AdaptHealth, for no consideration.
The shares are held directly by Deerfield/RAB Ventures, LLC and indirectly by Deerfield Private Design Fund IV, L.P., as member of Deerfield/RAB Ventures, LLC, Richard Barasch, as member and manager of Deerfield/RAB Ventures, LLC, and Steven Hochberg, as manager of Deerfield/RAB Ventures, LLC. Each of Deerfield Private Design Fund IV, L.P. and Messrs. Barasch and Hochberg disclaim beneficial ownership of the reported securities except to the extent of their pecuniary interest therein.
/s/ Alan I. Annex, Attorney-in-Fact
2019-11-13