0001493152-19-018754.txt : 20191204 0001493152-19-018754.hdr.sgml : 20191204 20191204192011 ACCESSION NUMBER: 0001493152-19-018754 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191202 FILED AS OF DATE: 20191204 DATE AS OF CHANGE: 20191204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MURNANE WILLIAM P CENTRAL INDEX KEY: 0001217575 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38424 FILM NUMBER: 191269218 MAIL ADDRESS: STREET 1: 5540 PIONEER CREEK DR CITY: MAPLE PLAIN STATE: MN ZIP: 55359-9003 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lazydays Holdings, Inc. CENTRAL INDEX KEY: 0001721741 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 250 W 57TH STREET STREET 2: SUITE 2223 CITY: NEW YORK STATE: NY ZIP: 10107 BUSINESS PHONE: 646-565-3861 MAIL ADDRESS: STREET 1: 250 W 57TH STREET STREET 2: SUITE 2223 CITY: NEW YORK STATE: NY ZIP: 10107 FORMER COMPANY: FORMER CONFORMED NAME: Andina II Holdco Corp. DATE OF NAME CHANGE: 20171103 4 1 ownership.xml X0306 4 2019-12-02 0 0001721741 Lazydays Holdings, Inc. LAZY 0001217575 MURNANE WILLIAM P C/O LAZYDAYS HOLDINGS, INC. 6130 LAZY DAYS BOULEVARD SEFFNER FL 33584 1 1 0 0 Chief Executive Officer Common Stock 2019-12-02 4 P 0 1000 4.05 A 184698 D /s/ William P. Murnane 2019-12-04