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