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