0001387131-19-009745.txt : 20191219 0001387131-19-009745.hdr.sgml : 20191219 20191219214305 ACCESSION NUMBER: 0001387131-19-009745 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191218 FILED AS OF DATE: 20191219 DATE AS OF CHANGE: 20191219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Forman Michael C. CENTRAL INDEX KEY: 0001438253 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55121 FILM NUMBER: 191297558 MAIL ADDRESS: STREET 1: CIRA CENTRE STREET 2: 2929 ARCH STREET, SUITE 675 CITY: PHILADELPHIA STATE: PA ZIP: 19104-2867 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FS Investment Corp III CENTRAL INDEX KEY: 0001579412 IRS NUMBER: 900994912 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 ROUSE BOULEVARD CITY: PHILADELPHIA STATE: PA ZIP: 19112 BUSINESS PHONE: 215-495-1150 MAIL ADDRESS: STREET 1: 201 ROUSE BOULEVARD CITY: PHILADELPHIA STATE: PA ZIP: 19112 4 1 formanfsiciii-form4_121819.xml OWNERSHIP DOCUMENT X0306 4 2019-12-18 1 0001579412 FS Investment Corp III NONE 0001438253 Forman Michael C. C/O FS KKR CAPITAL CORP. II 201 ROUSE BOULEVARD PHILADELPHIA PA 19112 1 1 0 0 CEO Common Stock 2019-12-18 4 D 0 81160 D 0 I MCFDA SCV LLC Disposed of in exchange for 79,569 shares of FS KKR Capital Corp II. (f/k/a FS Investment Corp.) ("FSK II") common stock in connection with the closing of the mergers of FSK II, FS Investment Corporation III ("FSIC III"), FS Investment Corporation IV ("FSIC IV") and Corporate Capital Trust II ("CCT II") pursuant to that certain Agreement and Plan of Merger, dated May 31, 2019 (the "Merger Agreement"), by and among FSK II, FSIC III, CCT II, FSIC IV, NT Acquisition 1, Inc., NT Acquisition 2, Inc., NT Acquisition 3, Inc. and FS/KKR Advisor, LLC. All shares held by MCFDA SCV LLC, which is a wholly-owned special purpose financing vehicle of which The 2011 Forman Investment Trust is a member and Mr. Forman is the manager. /s/ Stephen S. Sypherd, Attorney-in-Fact 2019-12-19