0001213900-19-003352.txt : 20190228 0001213900-19-003352.hdr.sgml : 20190228 20190228215204 ACCESSION NUMBER: 0001213900-19-003352 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190228 FILED AS OF DATE: 20190228 DATE AS OF CHANGE: 20190228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HENNESSY DANIEL J CENTRAL INDEX KEY: 0001519536 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38824 FILM NUMBER: 19646528 MAIL ADDRESS: STREET 1: 10 SOUTH WACKER DRIVE CITY: CHICAGO STATE: IL ZIP: 60606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hennessy Capital Partners IV LLC CENTRAL INDEX KEY: 0001750196 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38824 FILM NUMBER: 19646529 BUSINESS ADDRESS: STREET 1: 3485 N PINES WAY SUITE 110 CITY: WILSON STATE: WY ZIP: 83014 BUSINESS PHONE: 3077344849 MAIL ADDRESS: STREET 1: 3485 N PINES WAY SUITE 110 CITY: WILSON STATE: WY ZIP: 83014 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hennessy Capital LLC CENTRAL INDEX KEY: 0001597166 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38824 FILM NUMBER: 19646530 BUSINESS ADDRESS: STREET 1: 10 SOUTH WACKER DRIVE STREET 2: SUITE 3175 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 312-876-1956 MAIL ADDRESS: STREET 1: 10 SOUTH WACKER DRIVE STREET 2: SUITE 3175 CITY: CHICAGO STATE: IL ZIP: 60606 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Hennessy Capital Acquisition Corp IV CENTRAL INDEX KEY: 0001750153 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 831476189 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3485 N PINES WAY SUITE 110 CITY: WILSON STATE: WY ZIP: 83014 BUSINESS PHONE: 3077344849 MAIL ADDRESS: STREET 1: 3485 N PINES WAY SUITE 110 CITY: WILSON STATE: WY ZIP: 83014 3 1 ownership.xml X0206 3 2019-02-28 0 0001750153 Hennessy Capital Acquisition Corp IV HCACU 0001519536 HENNESSY DANIEL J C/O HENNESSY CAPITAL ACQ. CORP. IV 3485 N. PINES WAY, SUITE 110 WILSON WY 83014 1 1 1 0 Chief Executive Officer 0001750196 Hennessy Capital Partners IV LLC 3485 N. PINES WAY, SUITE 110 WILSON WY 83014 0 0 1 0 0001597166 Hennessy Capital LLC 3485 N. PINES WAY, SUITE 110 WILSON WY 83014 0 0 1 0 Class B Common Stock Class A Common Stock 5656820 I See footnote As described in the registrant's registration statement on Form S-1 (File No. 333-229608) under the heading "Description of Securities-Founder Shares," the shares of Class B common stock will automatically convert into shares of Class A common stock at the time of the registrant's initial business combination on a one-for-one basis, subject to certain adjustments described therein and have no expiration date. These shares of Class B common stock are held by Hennessy Capital Partners IV LLC ("HCP"), acquired pursuant to a subscription agreement dated as of August 16, 2018 by and among HCP and the registrant. Daniel J. Hennessy, the Chairman and Chief Executive Officer of the registrant, is the sole managing member of Hennessy Capital LLC, the sole managing member of HCP. Mr. Hennessy has sole voting and dispositive control over the shares held by HCP and may be deemed the beneficial owner of such shares. These shares include an aggregate of 847,171 shares that are subject to forfeiture to the extent that the underwriters do not exercise their over-allotment option in connection with the registrant's initial public offering in full. Mr. Hennessy disclaims beneficial ownership over any securities owned by HCP in which he does not have any pecuniary interest. /s/ Daniel J. Hennessy 2019-02-28 /s/ Daniel J. Hennessy, the Managing Member of Hennessy Capital LLC 2019-02-28 /s/ Daniel J. Hennessy, the Managing Member of Hennessy Capital LLC, the Managing Member of Hennessy Capital Partners IV LLC 2019-02-28