0001209191-18-013621.txt : 20180226
0001209191-18-013621.hdr.sgml : 20180226
20180226190136
ACCESSION NUMBER: 0001209191-18-013621
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180222
FILED AS OF DATE: 20180226
DATE AS OF CHANGE: 20180226
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Eghbali Behdad
CENTRAL INDEX KEY: 0001409564
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38053
FILM NUMBER: 18642343
MAIL ADDRESS:
STREET 1: C/O CLEARLAKE CAPITAL GROUP
STREET 2: 650 MADISON AVENUE, 23RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Feliciano Jose Enrique
CENTRAL INDEX KEY: 0001323912
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38053
FILM NUMBER: 18642342
MAIL ADDRESS:
STREET 1: C/O CLEARLAKE CAPITAL GROUP, LLC
STREET 2: 650 MADISON AVE., 23RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clearlake Capital Partners III, GP, L.P.
CENTRAL INDEX KEY: 0001730838
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38053
FILM NUMBER: 18642340
BUSINESS ADDRESS:
STREET 1: 233 WILSHIRE BLVD., SUITE 800
CITY: SANTA MONICA
STATE: CA
ZIP: 90401
BUSINESS PHONE: 212-610-9000
MAIL ADDRESS:
STREET 1: 233 WILSHIRE BLVD., SUITE 800
CITY: SANTA MONICA
STATE: CA
ZIP: 90401
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CCG Operations, LLC
CENTRAL INDEX KEY: 0001409590
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38053
FILM NUMBER: 18642338
BUSINESS ADDRESS:
STREET 1: 650 MADISON AVENUE, 23RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-610-9000
MAIL ADDRESS:
STREET 1: 650 MADISON AVENUE, 23RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clearlake Capital Partners, LLC
CENTRAL INDEX KEY: 0001409591
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38053
FILM NUMBER: 18642339
BUSINESS ADDRESS:
STREET 1: 233 WILSHIRE BLVD., SUITE 800
CITY: SANTA MONICA
STATE: CA
ZIP: 90401
BUSINESS PHONE: 212-610-9000
MAIL ADDRESS:
STREET 1: 233 WILSHIRE BLVD., SUITE 800
CITY: SANTA MONICA
STATE: CA
ZIP: 90401
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clearlake Capital Partners III (Master), L.P.
CENTRAL INDEX KEY: 0001730848
STATE OF INCORPORATION: WA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38053
FILM NUMBER: 18642341
BUSINESS ADDRESS:
STREET 1: 233 WILSHIRE BLVD., SUITE 800
CITY: SANTA MONICA
STATE: CA
ZIP: 90401
BUSINESS PHONE: 212-610-9000
MAIL ADDRESS:
STREET 1: 233 WILSHIRE BLVD., SUITE 800
CITY: SANTA MONICA
STATE: CA
ZIP: 90401
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ConvergeOne Holdings, Inc.
CENTRAL INDEX KEY: 0001697152
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 814619427
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 135 EAST 57TH STREET, 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 2127397860
MAIL ADDRESS:
STREET 1: 135 EAST 57TH STREET, 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
FORMER COMPANY:
FORMER CONFORMED NAME: Forum Merger Corp
DATE OF NAME CHANGE: 20170203
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-02-22
0
0001697152
ConvergeOne Holdings, Inc.
CVON
0001409564
Eghbali Behdad
C/O CLEARLAKE CAPITAL GROUP, L.P.
233 WILSHIRE BLVD, SUITE 800
SANTA MONICA
CA
90401
1
0
1
0
0001323912
Feliciano Jose Enrique
C/O CLEARLAKE CAPITAL GROUP, L.P.
233 WILSHIRE BLVD, SUITE 800
SANTA MONICA
CA
90401
1
0
1
0
0001730848
Clearlake Capital Partners III (Master), L.P.
C/O CLEARLAKE CAPITAL GROUP, L.P.
233 WILSHIRE BLVD, SUITE 800
SANTA MONICA
CA
90401
0
0
1
0
0001730838
Clearlake Capital Partners III, GP, L.P.
C/O CLEARLAKE CAPITAL GROUP, L.P.
233 WILSHIRE BLVD, SUITE 800
SANTA MONICA
CA
90401
0
0
1
0
0001409591
Clearlake Capital Partners, LLC
C/O CLEARLAKE CAPITAL GROUP, L.P.
233 WILSHIRE BLVD, SUITE 800
SANTA MONICA
CA
90401
0
0
1
0
0001409590
CCG Operations, LLC
C/O CLEARLAKE CAPITAL GROUP, L.P.
233 WILSHIRE BLVD, SUITE 800
SANTA MONICA
CA
90401
0
0
1
0
Common Stock
2018-02-22
4
A
0
38129813
A
38129813
I
By Clearlake Capital Partners III (Master), L.P.
Shares of Common Stock of the corporation then known as C1 Investment Corp. ("Old C1") were converted into shares of the Issuer pursuant to that certain Agreement and Plan of Merger, dated as of November 30, 2017, by and among the Issuer, FMC Merger Subsidiary Corp., FMC Merger Subsidiary LLC, Old C1 and Clearlake Capital Management III, L.P. in the capacity as the Seller Representative (the "Merger Agreement"). Pursuant to the terms of the Merger Agreement, Clearlake Capital Partners III (Master), L.P.'s shares of Old C1 Common Stock were converted into 38,129,813 shares of the Issuer's Common Stock.
Consists of 38,129,813 shares of Common Stock held directly by Clearlake Capital Partners III (Master), L.P. Clearlake Capital Partners III GP, L.P. is the General Partner of Clearlake Capital Partners III (Master), L.P. Clearlake Capital Partners, LLC is the General Partner of Clearlake Capital Partners III GP, L.P. CCG Operations, LLC is the managing member of Clearlake Capital Partners, LLC. Each of Behdad Eghbali and Jose E. Feliciano are managers of CCG Operations, LLC and therefore share voting and investment power over the shares held by Clearlake Capital Partners III (Master), L.P.
/s/ Behdad Eghbali
2018-02-26
/s/ Alan Hambelton, Attorney-in-Fact for Jose E. Feliciano
2018-02-26
Clearlake Capital Partners III (Master), L.P., by Clearlake Capital Partners III GP, L.P., its general partner, /s/ Behdad Eghbali, its Co-President
2018-02-26
Clearlake Capital Partners III GP, L.P., /s/ Behdad Eghbali, its Co-President
2018-02-26
Clearlake Capital Partners, LLC, by /s/ Behdad Eghbali, its Managing Partner
2018-02-26
CCG Operations, LLC, by /s/ Behdad Eghbali, its Manager
2018-02-26