0001104659-19-063544.txt : 20191113 0001104659-19-063544.hdr.sgml : 20191113 20191113211958 ACCESSION NUMBER: 0001104659-19-063544 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191108 FILED AS OF DATE: 20191113 DATE AS OF CHANGE: 20191113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Holst Gregg A CENTRAL INDEX KEY: 0001347931 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38399 FILM NUMBER: 191216047 MAIL ADDRESS: STREET 1: I.C. ISAACS & COMPANY, INC. STREET 2: 3840 BANK STREET CITY: BALTIMORE STATE: MD ZIP: 21224 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AdaptHealth Corp. CENTRAL INDEX KEY: 0001725255 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 823677704 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 220 WEST GERMANTOWN PIKE STREET 2: SUITE 250 CITY: PLYMOUTH MEETING STATE: PA ZIP: 19462 BUSINESS PHONE: 610-630-6357 MAIL ADDRESS: STREET 1: 220 WEST GERMANTOWN PIKE STREET 2: SUITE 250 CITY: PLYMOUTH MEETING STATE: PA ZIP: 19462 FORMER COMPANY: FORMER CONFORMED NAME: DFB Healthcare Acquisitions Corp. DATE OF NAME CHANGE: 20171213 4 1 a4.xml 4 X0306 4 2019-11-08 0 0001725255 AdaptHealth Corp. AHCO 0001347931 Holst Gregg A C/O ADAPTHEALTH LLC 220 WEST GERMANTOWN PIKE, SUITE 250 PLYMOUTH MEETING PA 19462 0 1 0 0 Chief Financial Officer Class A Common Stock 2019-11-08 4 J 0 104486 0 A 104486 I See Footnote Class B Common Stock 2019-11-08 4 A 0 688334 A Class A Common Stock 688334 688334 I See Footnote Warrants 11.50 2019-11-08 4 J 0 33348 0 A Class A Common Stock 33348 33348 I See Footnote Securities transferred in connection with the closing of the business combination transaction between the issuer and AdaptHealth Holdings LLC. Securities held directly by Wheatfield LLC. Securities issued in connection with the closing of the business combination transaction between the issuer and AdaptHealth Holdings LLC. Class B Common Stock is exchangeable (together with the same number of common units of AdaptHealth Holdings LLC) for shares of Class A Common Stock of the Issuer (or the cash value thereof). 354,988 of the common units of AdaptHealth Holdings LLC are subject to vesting, with 177,494 units vesting on May 17, 2020 and 88,747 units vesting on each of the first two anniversaries of such date. The Warrants may be exercised commencing on December 8, 2019; provided that the Issuer has an effective registration statement covering the shares of Class A Common Stock issuable upon exercise of the Warrants and a current prospectus relating to them is available (or the Issuer permits holders to exercise their warrants on a cashless basis under the circumstances specified in the warrant agreement governing the Warrants). The Warrants are subject to redemption upon the terms provided in the warrant agreement. The Warrants expire November 8, 2024 or earlier upon redemption or liquidation. *** The Power of Attorney given by the reporting person was previously filed with the U.S. Securities and Exchange Commission on November 13, 2019 as an exhibit to the Form 3 filed by the reporting person with respect to the Issuer and is hereby incorporated by reference. /s/ Chris Joyce, attorney-in-fact for Gregg Holst *** 2019-11-13