0000899243-18-005530.txt : 20180226
0000899243-18-005530.hdr.sgml : 20180226
20180226184512
ACCESSION NUMBER: 0000899243-18-005530
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180222
FILED AS OF DATE: 20180226
DATE AS OF CHANGE: 20180226
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Vogel Stephen A
CENTRAL INDEX KEY: 0001513473
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38053
FILM NUMBER: 18642283
MAIL ADDRESS:
STREET 1: 701 BRAZOS STREET
STREET 2: SUITE 1200
CITY: AUSTIN
STATE: TX
ZIP: 78701
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ConvergeOne Holdings, Inc.
CENTRAL INDEX KEY: 0001697152
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 814619427
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 135 EAST 57TH STREET, 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 2127397860
MAIL ADDRESS:
STREET 1: 135 EAST 57TH STREET, 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
FORMER COMPANY:
FORMER CONFORMED NAME: Forum Merger Corp
DATE OF NAME CHANGE: 20170203
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-02-22
1
0001697152
ConvergeOne Holdings, Inc.
CVON
0001513473
Vogel Stephen A
135 EAST 57TH STREET 8TH FLOOR
NEW YORK
NY
10022
0
0
0
1
Former Director
Common Stock
2018-02-22
4
P
0
937500
8.00
A
937500
D
Common Stock
2018-02-22
4
J
0
972687
0.00
A
1910187
D
Warrants
11.50
2018-02-22
4
J
0
30625
0.00
A
2018-04-12
2023-02-22
Common Stock
30625
30625
D
Represents receipt of the reporting person's pro rata distribution of the shares of common stock and warrants of the registrant held by Forum Investors I, LLC.
The warrant will become exercisable 12 months from the closing of the registrant's initial public offering, which occurred on April 12, 2017.
The warrant will expire five years after the completion of that certain Agreement and Plan of Merger, dated as of November 30, 2017, by and among the registrant, FMC Merger Subsidiary Corp., FMC Merger Subsidiary LLC, Old C1 and Clearlake Capital Management III, L.P. in the capacity as the Seller Representative, or earlier upon redemption.
Mr. Vogel resigned as a Director of the registrant effective February 22, 2018.
/s/ Stephen A. Vogel
2018-02-26