0001179110-17-005831.txt : 20170406 0001179110-17-005831.hdr.sgml : 20170406 20170406163908 ACCESSION NUMBER: 0001179110-17-005831 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170406 FILED AS OF DATE: 20170406 DATE AS OF CHANGE: 20170406 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AquaVenture Holdings Ltd CENTRAL INDEX KEY: 0001422841 STANDARD INDUSTRIAL CLASSIFICATION: WATER SUPPLY [4941] IRS NUMBER: 000000000 STATE OF INCORPORATION: D8 BUSINESS ADDRESS: STREET 1: COMMERCE HOUSE, WICKHAMS CAY 1 STREET 2: P.O. BOX 3140, ROAD TOWN CITY: TORTOLA STATE: D8 ZIP: VG1110 BUSINESS PHONE: 813-855-8636 MAIL ADDRESS: STREET 1: 14400 CARLSON CIRCLE CITY: TAMPA STATE: FL ZIP: 33626 FORMER COMPANY: FORMER CONFORMED NAME: AQUAVENTURE HOLDINGS LLC DATE OF NAME CHANGE: 20080104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BROWN DOUGLAS R CENTRAL INDEX KEY: 0001162738 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37903 FILM NUMBER: 17746464 MAIL ADDRESS: STREET 1: 65 GROVE STREET CITY: WATERTOWN STATE: MA ZIP: 02472 4 1 edgar.xml FORM 4 - X0306 4 2017-04-06 0 0001422841 AquaVenture Holdings Ltd WAAS 0001162738 BROWN DOUGLAS R C/O AQUAVENTURE HOLDINGS LIMITED 14400 CARLSON CIRCLE TAMPA FL 33626 1 1 0 0 Chief Executive Officer Ordinary Shares 2017-04-06 5 J 0 E 13216 0.00 A 1419345 D Ordinary Shares 148449 I By spouse These shares were received by the reporting person in his capacity as a constituent partner of Evergreen Investors LP, upon the pro rata distribution in-kind without consideration to the partners in accordance with the funds' limited partnership agreement. Such distribution was exempt from Section 16 of the Securities Exchange Act pursuant to Rule 16a-13. The reporting person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein, if any. /s/ Chad Schafer, attorney-in-fact 2017-04-06