0001140361-18-013740.txt : 20180315
0001140361-18-013740.hdr.sgml : 20180315
20180315203715
ACCESSION NUMBER: 0001140361-18-013740
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180315
FILED AS OF DATE: 20180315
DATE AS OF CHANGE: 20180315
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GRAY MICHAEL T
CENTRAL INDEX KEY: 0001211312
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38422
FILM NUMBER: 18693981
MAIL ADDRESS:
STREET 1: 10101 REUNION PLACE
STREET 2: SUITE 500
CITY: SAN ANTONIO
STATE: TX
ZIP: 78216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lagniappe Ventures LLC
CENTRAL INDEX KEY: 0001662936
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38422
FILM NUMBER: 18693980
BUSINESS ADDRESS:
STREET 1: 800 THIRD AVE
STREET 2: SUITE 1701
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-370-1300
MAIL ADDRESS:
STREET 1: 800 THIRD AVE
STREET 2: SUITE 1701
CITY: NEW YORK
STATE: NY
ZIP: 10022
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Tiberius Acquisition Corp
CENTRAL INDEX KEY: 0001662253
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 810824240
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3601 N INTERSTATE 10 SERVICE RD W
CITY: METAIRIE
STATE: LA
ZIP: 70002
BUSINESS PHONE: 504-881-1060
MAIL ADDRESS:
STREET 1: 3601 N INTERSTATE 10 SERVICE RD W
CITY: METAIRIE
STATE: LA
ZIP: 70002
3
1
form3.xml
FORM 3
X0206
3
2018-03-15
0
0001662253
Tiberius Acquisition Corp
TIBR
0001211312
GRAY MICHAEL T
3601 N INTERSTATE 10 SERVICE RD W
METAIRIE
LA
70002
true
true
true
Chief Executive Officer
0001662936
Lagniappe Ventures LLC
3601 N INTERSTATE 10 SERVICE RD W
METAIRIE
LA
70002
true
Common Stock
4252500
I
See Footnote
These shares represent common stock held by Lagniappe Ventures LLC (the "Sponsor") acquired pursuant to a subscription agreement dated as of December 30, 2015 by and between the Sponsor and the registrant. Michael Gray, the Chief Executive Officer and Executive Chairman of the registrant, is the managing member of the Sponsor. Mr. Gray has sole voting and dispositive control over the shares held by the Sponsor and may be deemed the beneficial owner of such shares. These shares include an aggregate of 562,500 shares that are subject to forfeiture to the extent that the underwriter's do not exercise their overallotment option in connection with the registrant's initial public offering in full.
Mr. Gray has a pecuniary interest in shares of common stock of the registrant owned by the Sponsor through his membership interests in the Sponsor. Mr. Gray disclaims beneficial ownership over any securities owned by the Sponsor in which he does not have any pecuniary interest.
/s/ Michael Gray
2018-03-15
/s/ Michael Gray Managing Member of Lagniappe Venture LLC
2018-03-15