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