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