0000899243-16-034354.txt : 20161123 0000899243-16-034354.hdr.sgml : 20161123 20161123165615 ACCESSION NUMBER: 0000899243-16-034354 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161123 FILED AS OF DATE: 20161123 DATE AS OF CHANGE: 20161123 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Forterra, Inc. CENTRAL INDEX KEY: 0001678463 STANDARD INDUSTRIAL CLASSIFICATION: CONCRETE PRODUCTS, EXCEPT BLOCK & BRICK [3272] IRS NUMBER: 371830464 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 511 E. JOHN CARPENTER FREEWAY STREET 2: SUITE 600 CITY: IRVING STATE: TX ZIP: 75062 BUSINESS PHONE: 469-458-7973 MAIL ADDRESS: STREET 1: 511 E. JOHN CARPENTER FREEWAY STREET 2: SUITE 600 CITY: IRVING STATE: TX ZIP: 75062 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Forterra US Holdings, LLC CENTRAL INDEX KEY: 0001687502 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37921 FILM NUMBER: 162017176 BUSINESS ADDRESS: STREET 1: 511 EAST JOHN CARPENTER FREEWAY CITY: IRVING STATE: TX ZIP: 75062 BUSINESS PHONE: (469) 458-7973 MAIL ADDRESS: STREET 1: 511 EAST JOHN CARPENTER FREEWAY CITY: IRVING STATE: TX ZIP: 75062 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRAYKEN JOHN P CENTRAL INDEX KEY: 0001267446 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37921 FILM NUMBER: 162017177 MAIL ADDRESS: STREET 1: 2711 NORTH HASKELL AVENUE STREET 2: SUITE 1700 CITY: DALLAS STATE: TX ZIP: 75204 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-11-23 0 0001678463 Forterra, Inc. FRTA 0001267446 GRAYKEN JOHN P 2711 NORTH HASKELL AVENUE SUITE 1700 DALLAS TX 75204 0 0 1 0 0001687502 Forterra US Holdings, LLC 2711 NORTH HASKELL AVENUE SUITE 1700 DALLAS TX 75204 0 0 1 0 Common Stock 2016-11-23 4 S 0 262224 17.01 D 45107250 I See footnote These shares are held directly by Forterra US Holdings, LLC, which is indirectly controlled by John P. Grayken. Each of the reporting persons disclaims beneficial ownership of the shares except to the extent of such reporting person's pecuniary interest therein. /s/ William D. Young, attorney-in-fact for John P. Grayken 2016-11-23 /s/ Kyle S. Volluz, President of Forterra US Holdings, LLC 2016-11-23