0001493152-24-007737.txt : 20240223
0001493152-24-007737.hdr.sgml : 20240223
20240223185106
ACCESSION NUMBER: 0001493152-24-007737
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240221
FILED AS OF DATE: 20240223
DATE AS OF CHANGE: 20240223
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: North John F
CENTRAL INDEX KEY: 0001506447
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38424
FILM NUMBER: 24673137
MAIL ADDRESS:
STREET 1: 150 N. BARTLETT STREET
CITY: MEDFORD
STATE: OR
ZIP: 97501
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Lazydays Holdings, Inc.
CENTRAL INDEX KEY: 0001721741
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500]
ORGANIZATION NAME: 07 Trade & Services
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4042 PARK OAKS BLVD
STREET 2: SUITE 350
CITY: TAMPA
STATE: FL
ZIP: 33610
BUSINESS PHONE: 813-246-4999
MAIL ADDRESS:
STREET 1: 4042 PARK OAKS BLVD
STREET 2: SUITE 350
CITY: TAMPA
STATE: FL
ZIP: 33610
FORMER COMPANY:
FORMER CONFORMED NAME: Andina II Holdco Corp.
DATE OF NAME CHANGE: 20171103
4
1
ownership.xml
X0508
4
2024-02-21
0
0001721741
Lazydays Holdings, Inc.
LAZY
0001506447
North John F
C/O LAZYDAYS HOLDINGS, INC.
4042 PARK OAKS BLVD., SUITE 350
TAMPA
FL
33610
1
1
0
0
Chief Executive Officer
0
Common Stock
2024-02-21
4
M
0
7789
0
A
46345
D
Common Stock
2024-02-21
4
F
0
2309
4.14
D
44036
D
Restricted Stock Units
2024-02-21
4
M
0
7789
0
D
Common Stock
7789
15815
D
Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock.
The original 23,604 Restricted Stock Units vest as follows: 7,789 on February 21, 2024, 7,789 on February 21, 2025 and 8,026 on February 21, 2026.
/s/ Kelly Porter, Attorney-in-Fact for John North
2024-02-23