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