0000950142-16-004623.txt : 20161025 0000950142-16-004623.hdr.sgml : 20161025 20161025170921 ACCESSION NUMBER: 0000950142-16-004623 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161021 FILED AS OF DATE: 20161025 DATE AS OF CHANGE: 20161025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEMISPHERE MEDIA GROUP, INC. CENTRAL INDEX KEY: 0001567345 STANDARD INDUSTRIAL CLASSIFICATION: CABLE & OTHER PAY TELEVISION SERVICES [4841] IRS NUMBER: 800885255 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4000 PONCE DE LEON BLVD., SUITE 650 CITY: CORAL GABLES STATE: FL ZIP: 33146 BUSINESS PHONE: 305-421-6364 MAIL ADDRESS: STREET 1: 4000 PONCE DE LEON BLVD., SUITE 650 CITY: CORAL GABLES STATE: FL ZIP: 33146 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fischer Craig D. CENTRAL INDEX KEY: 0001573404 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35886 FILM NUMBER: 161950959 MAIL ADDRESS: STREET 1: C/O HMG, INC., C/O CINE LATINO, INC. STREET 2: 2000 PONCE DE LEON BLVD, SUITE 500 CITY: CORAL GABLES STATE: FL ZIP: 33134 4 1 es1601074_4-fischer.xml OWNERSHIP DOCUMENT X0306 4 2016-10-21 0 0001567345 HEMISPHERE MEDIA GROUP, INC. HMTV 0001573404 Fischer Craig D. C/O HEMISPHERE MEDIA GROUP, INC. 4000 PONCE DE LEON BLVD, SUITE 650 CORAL GABLES FL 33146 0 1 0 0 Chief Financial Officer Class A Common Stock 2016-10-21 4 J 0 5938 0 A 201655 D Warrants (Right to Purchase) 6 2016-10-21 4 J 0 440 0 A 2013-04-04 2018-04-04 Class A Common Stock 220 440 D Pro rata distribution from InterMedia Partners VII, L.P., of which the reporting person is a limited partner. Of these shares, 50,000 are restricted securities and will vest upon the fair market value of the Company's Class A common stock price reaching or exceeding $15.00 per share on at least ten trading days (which need not be consecutive) following April 4, 2013. Pursuant to the terms of the warrant agreement, as amended by the Assignment, Assumption and Amendment of Warrant Agreement, a form of which was filed with the Securities and Exchange Commission as Annex B to the Company's Amendment No. 3 to its Registration Statement on Form S-4 filed on March 15, 2013, as subsequently amended, the warrants will expire on April 4, 2018 unless the Company is liquidated prior to such time. /s/ Craig D. Fischer 2016-10-25