0001062993-17-001818.txt : 20170411
0001062993-17-001818.hdr.sgml : 20170411
20170411120737
ACCESSION NUMBER: 0001062993-17-001818
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170407
FILED AS OF DATE: 20170411
DATE AS OF CHANGE: 20170411
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Forum Merger Corp
CENTRAL INDEX KEY: 0001697152
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Polar Asset Management Partners Inc.
CENTRAL INDEX KEY: 0001326389
STATE OF INCORPORATION: A6
FISCAL YEAR END: 0331
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38053
FILM NUMBER: 17755407
BUSINESS ADDRESS:
STREET 1: 401 BAY STREET
STREET 2: SUITE 1900, P.O. BOX 19
CITY: TORONTO
STATE: A6
ZIP: M5H 2Y4
BUSINESS PHONE: 416-367-4364
MAIL ADDRESS:
STREET 1: 401 BAY STREET
STREET 2: SUITE 1900, P.O. BOX 19
CITY: TORONTO
STATE: A6
ZIP: M5H 2Y4
FORMER NAME:
FORMER CONFORMED NAME: Polar Securities Inc.
DATE OF NAME CHANGE: 20050506
3
1
form3.xml
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
X0206
3
2017-04-07
0
0001697152
Forum Merger Corp
FMCIU
0001326389
Polar Asset Management Partners Inc.
401 BAY STREET, SUITE 1900, PO BOX 19
TORONTO
A6
M5H 2Y4
ONTARIO, CANADA
0
0
1
0
Class A Common Stock
2090000
I
See footnote
Polar Asset Management Partners Inc., a company incorporated under the laws of Ontario, Canada, (the "Reporting Person") serves as investment advisor to Polar Multi-Strategy Master Fund, a Cayman Islands exempted company ("PMSMF") and has sole voting and investment discretion with respect to the securities reported herein which are held by PMSMF. The Reporting Person disclaims beneficial ownership of the securities reported herein, and this report shall not be deemed an admission that Reporting Person is the beneficial owner of the securities reported herein for the purpose of Section 16 of the Securities and Exchange Act of 1934, as amended, or for any other purpose, except to the extent of Reporting Person's pecuniary interest therein.
/s/ Jennifer Schwartz, VP, Legal and Compliance
2017-04-11