0001615774-19-001040.txt : 20190125 0001615774-19-001040.hdr.sgml : 20190125 20190125175326 ACCESSION NUMBER: 0001615774-19-001040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190125 FILED AS OF DATE: 20190125 DATE AS OF CHANGE: 20190125 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schultze George J CENTRAL INDEX KEY: 0001308360 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38760 FILM NUMBER: 19543457 MAIL ADDRESS: STREET 1: C/O SCHULTZE ASSET MANAGEMENT, LLC STREET 2: 3000 WESTCHESTER AVENUE CITY: PURCHASE STATE: NY ZIP: 10577 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Schultze Special Purpose Acquisition Corp. CENTRAL INDEX KEY: 0001754824 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 830891815 STATE OF INCORPORATION: DE FISCAL YEAR END: 1210 BUSINESS ADDRESS: STREET 1: 800 WESTCHESTER AVENUE STREET 2: SUITE 632 CITY: RYE STATE: NY ZIP: 10573 BUSINESS PHONE: (914) 701-5260 MAIL ADDRESS: STREET 1: 800 WESTCHESTER AVENUE STREET 2: SUITE 632 CITY: RYE STATE: NY ZIP: 10573 4 1 ownership.xml X0306 4 2019-01-25 0 0001754824 Schultze Special Purpose Acquisition Corp. SAMA 0001308360 Schultze George J C/O SCHULTZE SPAC 800 WESTCHESTER AVENUE, SUITE 632 RYE BROOK NY 10573 1 1 1 0 Chairman, CEO and President Common Stock 2019-01-25 4 J 0 487500 D 3190000 I See footnote 487,500 shares were forfeited to the Issuer at no cost in connection with the expiration of the underwriters' over-allotment option, as described in the Issuer's registration statement on Form S-1, as amended (File No. 333-228494). The securities are held directly by Schultze Special Purpose Acquisition Sponsor, LLC (the "Sponsor") and indirectly by George J. Schultze, who controls both Schultze Asset Management, LP, the manager of the Sponsor, and Schultze Master Fund, Ltd, the majority owner of the Sponsor. Mr. Schultze disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. /s/ George J. Schultze 2019-01-25