0001209191-18-033166.txt : 20180524 0001209191-18-033166.hdr.sgml : 20180524 20180524184842 ACCESSION NUMBER: 0001209191-18-033166 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180522 FILED AS OF DATE: 20180524 DATE AS OF CHANGE: 20180524 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: 18859223 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: 18859218 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: 18859221 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: 18859219 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: 18859220 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: 18859222 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: 3344 HIGHWAY 149 CITY: EAGAN STATE: MN ZIP: 55121 BUSINESS PHONE: 651-393-3632 MAIL ADDRESS: STREET 1: 3344 HIGHWAY 149 CITY: EAGAN STATE: MN ZIP: 55121 FORMER COMPANY: FORMER CONFORMED NAME: Forum Merger Corp DATE OF NAME CHANGE: 20170203 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-05-22 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 4169878 A 42299691 I By Clearlake Capital Partners III (Master), L.P. The Reporting Person became entitled to receive these shares on May 22, 2018 for no additional consideration pursuant to an earnout provision in the Agreement and Plan of Merger between C1 Investment Corp., Clearlake Capital Management III, L.P., in its capacity as seller representative, and Forum Merger Corporation, dated November 30, 2017 (the "Merger Agreement"). Subject to achievement of the associated earnout milestones, the Reporting Person's right to receive these additional shares became irrevocable on February 22, 2018, the closing date of the transactions under the Merger Agreement. The calculation for the value of these shares was established in the Merger Agreement. Consists of 42,299,691 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/ John T. McKenna, Attorney-in-Fact for Behdad Eghbali 2018-05-24 /s/ John T. McKenna, Attorney-in-Fact for Jose E. Feliciano 2018-05-24 Clearlake Capital Partners III (Master), L.P., by Clearlake Capital Partners III GP, L.P., its general partner, /s/ Behdad Eghbali, its Co-President 2018-05-24 Clearlake Capital Partners III GP, L.P., /s/ Behdad Eghbali, its Co-President 2018-05-24 Clearlake Capital Partners, LLC, by /s/ Behdad Eghbali, its Managing Partner 2018-05-24 CCG Operations, LLC, by /s/ Behdad Eghbali, its Manager 2018-05-24