0001493152-22-034294.txt : 20221202 0001493152-22-034294.hdr.sgml : 20221202 20221202161530 ACCESSION NUMBER: 0001493152-22-034294 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221201 FILED AS OF DATE: 20221202 DATE AS OF CHANGE: 20221202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fleming Ronald CENTRAL INDEX KEY: 0001734719 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38424 FILM NUMBER: 221442121 BUSINESS ADDRESS: BUSINESS PHONE: 8132464999 MAIL ADDRESS: STREET 1: 6130 LAZY DAYS BOULEVARD CITY: SEFFNER STATE: FL ZIP: 33584 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lazydays Holdings, Inc. CENTRAL INDEX KEY: 0001721741 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4042 PARK OAKS BLVD STREET 2: SUITE 350 CITY: TAMPA STATE: FL ZIP: 33610 BUSINESS PHONE: 813-246-4999 MAIL ADDRESS: STREET 1: 4042 PARK OAKS BLVD STREET 2: SUITE 350 CITY: TAMPA STATE: FL ZIP: 33610 FORMER COMPANY: FORMER CONFORMED NAME: Andina II Holdco Corp. DATE OF NAME CHANGE: 20171103 4 1 ownership.xml X0306 4 2022-12-01 0 0001721741 Lazydays Holdings, Inc. LAZY 0001734719 Fleming Ronald C/O LAZYDAYS HOLDINGS, INC., 4042 PARK OAKS BLVD, SUITE 350 TAMPA, FL 33610 0 1 0 0 VP, Operations Common Stock 2022-12-01 5 A 0 E 616 11.6875 A 25033 D These shares were purchased under the Lazydays 2019 Employee Stock Purchase Plan in transactions that were exempt under both Rule 16b-3(c) and Rule 16b-3(d). /s/ Ronald Fleming 2022-12-02