0001213900-16-015067.txt : 20160718 0001213900-16-015067.hdr.sgml : 20160718 20160718180335 ACCESSION NUMBER: 0001213900-16-015067 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160714 FILED AS OF DATE: 20160718 DATE AS OF CHANGE: 20160718 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Conyers Park Acquisition Corp. CENTRAL INDEX KEY: 0001672985 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 812349205 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 31 WEST 52ND STREET STREET 2: 22ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: 212-380-2644 MAIL ADDRESS: STREET 1: 31 WEST 52ND STREET STREET 2: 22ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ghez Nomi CENTRAL INDEX KEY: 0001535662 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37828 FILM NUMBER: 161772189 MAIL ADDRESS: STREET 1: MAIDENFORM, INC. STREET 2: 485 F U.S. HIGHWAY 1 SOUTH CITY: ISELIN STATE: NJ ZIP: 08830 4 1 f4071416ghez_conyersprk.xml OWNERSHIP DOCUMENT X0306 4 2016-07-14 0 0001672985 Conyers Park Acquisition Corp. CPAA 0001535662 Ghez Nomi 3 GREENWICH OFFICE PARK, 2ND FLOOR GREENWICH CT 06831 1 0 0 0 Class A Common Stock 2016-07-14 4 P 0 25000 10.00 A 25000 D The registrant purchased 25,000 Units in the Issuer's Initial Public Offering. Each Unit consists of one share of the Issuer's Class A common stock and one-third of one warrant to purchase Class A common stock. /s/ Nomi P. Ghez 2016-07-18