0001493152-19-018740.txt : 20191204
0001493152-19-018740.hdr.sgml : 20191204
20191204163028
ACCESSION NUMBER: 0001493152-19-018740
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: TOMASHOT NICHOLAS J
CENTRAL INDEX KEY: 0001230539
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38424
FILM NUMBER: 191268490
MAIL ADDRESS:
STREET 1: C/O LAZYDAYS HOLDINGS, INC.
STREET 2: 6130 LAZY DAYS BOULEVARD
CITY: SEFFNER
STATE: FL
ZIP: 33584
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
0001230539
TOMASHOT NICHOLAS J
C/O LAZYDAYS HOLDINGS, INC.
6130 LAZY DAYS BOULEVARD
SEFFNER
FL
33584
0
1
0
0
Chief Financial Officer
Common Stock
2019-12-02
5
A
0
E
1742
3.587
A
7573
D
These shares were purchased under the Lazydays 2019 Employee Stock Purchase Plan in transactions that were exempt under both Rule 16b-3(c) and Rule 16b-3(d).
/s/ Nicholas Tomashot
2019-12-04