0001643615-15-000001.txt : 20150608 0001643615-15-000001.hdr.sgml : 20150608 20150608153405 ACCESSION NUMBER: 0001643615-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150608 DATE AS OF CHANGE: 20150608 EFFECTIVENESS DATE: 20150608 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Montrose Environmental Group, Inc. CENTRAL INDEX KEY: 0001643615 IRS NUMBER: 464195044 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-241302 FILM NUMBER: 15918371 BUSINESS ADDRESS: STREET 1: 1 PARK PLAZA, SUITE 1000 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: (949) 988-3500 MAIL ADDRESS: STREET 1: 1 PARK PLAZA, SUITE 1000 CITY: IRVINE STATE: CA ZIP: 92614 D 1 primary_doc.xml X0707 D LIVE 0001643615 Montrose Environmental Group, Inc. 1 PARK PLAZA, SUITE 1000 IRVINE CA CALIFORNIA 92614 (949) 988-3500 DELAWARE None None Corporation true 2013 Nina Prasad 1 Park Plaza, Suite 1000 Irvine CA CALIFORNIA 92614 Executive Officer Director Co-Chief Executive Officer, Secretary and Director Jeremiah Yu 1 Park Plaza, Suite 1000 Irvine CA CALIFORNIA 92614 Executive Officer Director Co-Chief Executive Officer, President, Interim Chief Financial Officer and Director Craig Thiry 1 Park Plaza, Suite 1000 Irvine CA CALIFORNIA 92614 Executive Officer Chief Operating Officer Jose Revuelta 1 Park Plaza, Suite 1000 Irvine CA CALIFORNIA 92614 Executive Officer Vice President, Corporate Department and Treasurer Nasym Afsari 1 Park Plaza, Suite 1000 Irvine CA CALIFORNIA 92614 Executive Officer General Counsel and Assistant Secretary Yvonne Senouci 1 Park Plaza, Suite 1000 Irvine CA CALIFORNIA 92614 Executive Officer Vice President, Human Resources and Safety Darren Schmidt 1 Park Plaza, Suite 1000 Irvine CA CALIFORNIA 92614 Executive Officer Vice President, Technology Richard E. Perlman 1 Park Plaza, Suite 1000 Irvine CA CALIFORNIA 92614 Director James K. Price 1 Park Plaza, Suite 1000 Irvine CA CALIFORNIA 92614 Director J. Miguel Fernandez de Castro 1 Park Plaza, Suite 1000 Irvine CA CALIFORNIA 92614 Director Environmental Services Decline to Disclose 06b false 2015-05-22 false true true false 133493 N/A None Broadband Capital Management LLC 48001 712 Fifth Avenue 22nd Floor New York NY NEW YORK 10019 All States true 40000254 23618031 16382223 Offer is for units consisting of one share of convertible preferred stock at $429.70/share and a commitment to purchase $143.23 of subordinated debt. Total amount sold is only with respect to the shares of convertible preferred stock that have been sold. false 67 2000013 0 Represents 5.0% of the gross proceeds from the offering, assuming the maximum amount of the offering is sold, which will be issued as common stock of the issuer. Excludes $123,000 in fee reimbursements. 0 false Montrose Environmental Group, Inc. Nasym Afsari Nasym Afsari General Counsel and Assistant Secretary 2015-06-08