0001628280-21-017966.txt : 20210901
0001628280-21-017966.hdr.sgml : 20210901
20210901190139
ACCESSION NUMBER: 0001628280-21-017966
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210830
FILED AS OF DATE: 20210901
DATE AS OF CHANGE: 20210901
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KHALIL DAVID
CENTRAL INDEX KEY: 0001838024
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38252
FILM NUMBER: 211231335
MAIL ADDRESS:
STREET 1: C/O SPARK NETWORKS SE
STREET 2: KOHLFURTER STRASSE 41/43
CITY: BERLIN
STATE: X9
ZIP: 10999
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Spark Networks SE
CENTRAL INDEX KEY: 0001705338
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200]
IRS NUMBER: 000000000
STATE OF INCORPORATION: 2M
BUSINESS ADDRESS:
STREET 1: KOHLFURTER STRASSE 41/43
CITY: BERLIN
STATE: 2M
ZIP: 10999
BUSINESS PHONE: 011491624265474
MAIL ADDRESS:
STREET 1: KOHLFURTER STRASSE 41/43
CITY: BERLIN
STATE: 2M
ZIP: 10999
FORMER COMPANY:
FORMER CONFORMED NAME: Blitz 17655 SE
DATE OF NAME CHANGE: 20170501
4
1
wf-form4_163053728609218.xml
FORM 4
X0306
4
2021-08-30
0
0001705338
Spark Networks SE
LOV
0001838024
KHALIL DAVID
C/O SPARK NETWORKS SE
KOHLFURTER STRASSE 41/43
BERLIN
2M
10999
GERMANY
1
0
0
0
American Depository Shares
2021-08-30
4
J
0
521904
0
D
521904
I
Lino Holding GmbH and Co KG
American Depository Shares
12938
D
Each American Depository Share ("ADS") represents 0.1 Ordinary Shares of Spark Networks SE.
Affinitas Phantom distributed, on a pro rata basis, ADSs to limited partners in Affinitas Phantom as part of a pro rata distribution
These shares were previously held by Affinitas Phantom Share GmbH and distributed to limited partners, including Lino Holdings GmbH and Co KG, as part of a pro rata distribution.
/s/ David Khalil
2021-09-01