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