0000899243-21-022895.txt : 20210609
0000899243-21-022895.hdr.sgml : 20210609
20210609203033
ACCESSION NUMBER: 0000899243-21-022895
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210607
FILED AS OF DATE: 20210609
DATE AS OF CHANGE: 20210609
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: COTE DAVID M
CENTRAL INDEX KEY: 0001136538
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39129
FILM NUMBER: 211006594
MAIL ADDRESS:
STREET 1: PO BOX 781
CITY: ANNA MARIA
STATE: FL
ZIP: 34216
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Juniper Industrial Holdings, Inc.
CENTRAL INDEX KEY: 0001787791
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 14 FAIRMOUNT AVENUE
CITY: CHATHAM
STATE: NJ
ZIP: 07928
BUSINESS PHONE: 9735070359
MAIL ADDRESS:
STREET 1: 14 FAIRMOUNT AVENUE
CITY: CHATHAM
STATE: NJ
ZIP: 07928
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-06-07
1
0001787791
Juniper Industrial Holdings, Inc.
JIH
0001136538
COTE DAVID M
C/O JUNIPER INDUSTRIAL HOLDINGS, INC.
14 FAIRMOUNT AVENUE
CHATHAM
NJ
07928
1
0
0
0
Class B Common Stock
2021-06-07
4
C
0
35000
D
Class A Common Stock
35000
0
D
As described in the issuer's registration statement on Form S-1 (File No. 333-234264) under the heading "Description of Securities-Founder Shares", the shares of Class B common stock, par value $0.0001 per share, automatically convert into shares of Class A common stock, par value $0.0001 per share, of the issuer at the time of the issuer's initial business combination, or earlier at the option of the holder, on a one-for-one basis, subject to adjustment for stock splits, stock dividends, reorganizations, recapitalizations and the like, and certain anti-dilution rights and have no expiration date.
(Continued from Footnote 1) On June 7, 2021, the issuer consummated its initial business combination (the "Business Combination") with Janus International Group, LLC, a Delaware limited liability corporation. In connection with the Business Combination, each share of Class B Stock converted into Class A Stock.
In connection with the Business Combination, the Reporting Person exchanged his Class A Shares for 35,000 fully paid and non-assessable shares of common stock, par value U.S. $0.0001 per share, of Janus International Group, Inc. ("Janus Common Stock").
/s/ Brian Cook as Attorney-in-Fact of David Cote
2021-06-08