0001567619-21-013965.txt : 20210726
0001567619-21-013965.hdr.sgml : 20210726
20210726141324
ACCESSION NUMBER: 0001567619-21-013965
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210720
FILED AS OF DATE: 20210726
DATE AS OF CHANGE: 20210726
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Casey Ted
CENTRAL INDEX KEY: 0001856959
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38785
FILM NUMBER: 211113676
MAIL ADDRESS:
STREET 1: 5801 TENNYSON PKWY SUITE 275
CITY: PLANO
STATE: TX
ZIP: 75024
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: STRYVE FOODS, INC.
CENTRAL INDEX KEY: 0001691936
STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5801 TENNYSON PARKWAY
STREET 2: SUITE 275
CITY: PLANO
STATE: TX
ZIP: 75024
BUSINESS PHONE: 646-565-3861
MAIL ADDRESS:
STREET 1: 5801 TENNYSON PARKWAY
STREET 2: SUITE 275
CITY: PLANO
STATE: TX
ZIP: 75024
FORMER COMPANY:
FORMER CONFORMED NAME: Andina Acquisition Corp. III
DATE OF NAME CHANGE: 20161208
4/A
1
doc1.xml
FORM 4/A
X0306
4/A
2021-07-20
2021-07-21
0
0001691936
STRYVE FOODS, INC.
ANDA
0001856959
Casey Ted
C/O STRYVE FOODS, INC.
5801 TENNYSON PARKWAY, SUITE 275
PLANO
TX
75024
1
0
0
0
Class V Common Stock
2021-07-20
4
A
0
1491314
A
1491314
I
See Footnote
Class A Common Stock
2021-07-20
4
C
0
101301
A
101301
D
Class A Common Stock
2021-07-20
4
C
0
128306
A
128306
I
See Footnote
Class B Units
2021-07-20
4
A
0
1491314
A
Class A Common Stock
1491314
1491314
I
See Footnote
Convertible Bridge Note
2021-07-20
4
C
0
101301
D
Class A Common Stock
101301
0
D
Convertible Bridge Note
2021-07-20
4
C
0
128306
D
Class A Common Stock
128306
0
I
See Footnote
Subject to the terms of an Exchange Agreement with Stryve Foods, Inc. ("Stryve"), a set of one Class B Unit and one share of Class V Common Stock is exchangeable for one share of Class A Common Stock of Stryve after the expiration of a lock-up applicable to such securities. The Class V Common Stock provides the holder with voting rights, but not economic rights, with respect to Stryve.
Securities issued to Stryve Foods Holdings, LLC in connection with a business combination with the Issuer.
All shares of Class V Common Stock and Class B Units are beneficially owned as a member of Stryve Foods Holdings, LLC.
All principal and interest due under promissory notes (the "Bridge Notes") of Stryve Foods, LLC ( "Stryve") was satisfied through the issuance of shares of Class A Common Stock in connection with the business combination between Stryve Foods, Inc. (formerly known as Andina Acquisition Corp. III) and Stryve.
One-half of the securities are owned by the TRC GST TRFBO Trinity Jennifer Wommack Casey BTD 09302011 and the other half are owned by TRC GST TRFBO Avery Maryanna Wommack Casey BTD 09302011. Thomas Farrell Casey is the trustee and control person of, with voting and dispositive power over the securities held by, such trusts. The reporting person disclaims beneficial ownership of the securities owned by the trusts.
Amendment solely to correct the number of shares of Class V Common Stock and Class B Units owned.
/s/ Ted Casey by John J. Wolfel, Attorney-in-Fact
2021-07-26