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