0001493152-20-011006.txt : 20200611 0001493152-20-011006.hdr.sgml : 20200611 20200611161552 ACCESSION NUMBER: 0001493152-20-011006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200609 FILED AS OF DATE: 20200611 DATE AS OF CHANGE: 20200611 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: 20957344 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 2020-06-09 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 2020-06-09 5 A 0 E 2613 3.587 A 10186 D /s/ Nicholas J. Tomashot 2020-06-11