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