0001387131-19-009746.txt : 20191219
0001387131-19-009746.hdr.sgml : 20191219
20191219214348
ACCESSION NUMBER: 0001387131-19-009746
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: 000-55526
FILM NUMBER: 191297559
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 IV
CENTRAL INDEX KEY: 0001637417
IRS NUMBER: 473258730
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
formanfsiciv-form4_121819.xml
OWNERSHIP DOCUMENT
X0306
4
2019-12-18
1
0001637417
FS Investment Corp IV
NONE
0001438253
Forman Michael C.
C/O FS KKR CAPITAL CORP. II
201 ROUSE BOULEVARD
PHILADELPHIA
PA
19112
1
1
1
0
CEO
Common Stock
2019-12-18
4
D
0
34764
D
0
I
MCFDA SCV LLC
Disposed of in exchange for 47,397 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