0000899243-18-030306.txt : 20181206 0000899243-18-030306.hdr.sgml : 20181206 20181206183133 ACCESSION NUMBER: 0000899243-18-030306 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181206 FILED AS OF DATE: 20181206 DATE AS OF CHANGE: 20181206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stone Laurence L CENTRAL INDEX KEY: 0001686923 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35170 FILM NUMBER: 181221882 MAIL ADDRESS: STREET 1: 725 EAGLE FARM ROAD CITY: VILLANOVA STATE: PA ZIP: 19085 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sundara Investment Partners, LLC CENTRAL INDEX KEY: 0001686912 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35170 FILM NUMBER: 181221883 BUSINESS ADDRESS: STREET 1: 725 EAGLE FARM ROAD CITY: VILLANOVA STATE: PA ZIP: 19085 BUSINESS PHONE: 917-603-8293 MAIL ADDRESS: STREET 1: 725 EAGLE FARM ROAD CITY: VILLANOVA STATE: PA ZIP: 19085 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: JetPay Corp CENTRAL INDEX KEY: 0001507986 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 900632274 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1175 LANCASTER AVE., SUITE 200 CITY: BERWYN STATE: PA ZIP: 19312 BUSINESS PHONE: 6109772482 MAIL ADDRESS: STREET 1: 1175 LANCASTER AVE., SUITE 200 CITY: BERWYN STATE: PA ZIP: 19312 FORMER COMPANY: FORMER CONFORMED NAME: Universal Business Payment Solutions Acquisition Corp DATE OF NAME CHANGE: 20101215 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-12-06 0 0001507986 JetPay Corp JTPY 0001686923 Stone Laurence L 725 EAGLE FARM ROAD VILLANOVA PA 19085 1 0 1 0 0001686912 Sundara Investment Partners, LLC 725 EAGLE FARM ROAD VILLANOVA PA 19085 0 0 1 0 Common Stock 2018-12-06 4 U 0 13300 D 0 D Common Stock 2018-12-06 4 U 0 125000 D 0 I See Footnote Common Stock 2018-12-06 4 U 0 388573 D 0 I See Footnote Common Stock 2018-12-06 4 U 0 336283 D 0 I See Footnote Series A Preferred Stock 2.50 2018-12-06 4 U 0 33667 D Common Stock 4040040 0 I See Footnote The common stock was tendered in exchange for $5.05 per share in the tender offer (the "Tender Offer") made pursuant to the Agreement and Plan of Merger, dated as of October 19, 2018, by and among NCR Corporation, Orwell Acquisition Corporation and JetPay Corporation. Consists of shares of common stock owned by LHLJ, Inc., a Delaware corporation of which Mr. Stone is the sole stockholder. Consists of shares of common stock owned by Main Line Trading Partners, LLC, a Delaware limited liability company of which Mr. Stone is a managing member and owner of substantially all of the equity interests. Consists of shares of common stock owned by The Stone Family Trust, an irrevocable trust for the benefit of Mr. Stone's children, of which his wife serves as a trustee. Prior to the disposition reported hereby, the holders of the Series A Preferred Stock were entitled to convert their shares of Series A Preferred Stock at any time, in whole or in part, into a number of shares of common stock equal to the quotient determined by dividing (i) the original issue price of $300 per share of Series A Preferred Stock, by (ii) the conversion price, then in effect ("Conversion Price"). The Conversion Price on December 6, 2018 was $2.50. Based on the Conversion Price on December 6, 2018. The Series A Preferred Stock was tendered in exchange for $5.05 per each share of common stock underlying the Series A Preferred Stock in the Tender Offer. The Series A Preferred Stock is held by Sundara Investment Partners, LLC, of which Mr. Stone is the sole managing member, and, accordingly may also be deemed to have beneficial ownership of such shares. /s/ Laurence L. Stone 2018-12-06 Sundara Investment Partners, LLC, By: Laurence L. Stone, Managing Member, /s/ Laurence L. Stone 2018-12-06