0000905148-24-000417.txt : 20240205
0000905148-24-000417.hdr.sgml : 20240205
20240205165002
ACCESSION NUMBER: 0000905148-24-000417
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240124
FILED AS OF DATE: 20240205
DATE AS OF CHANGE: 20240205
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kelly William Michael
CENTRAL INDEX KEY: 0002009428
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39479
FILM NUMBER: 24596483
MAIL ADDRESS:
STREET 1: 520 MADISON AVENUE
STREET 2: FLOOR 19
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FOURSIXTHREE CAPITAL LP
CENTRAL INDEX KEY: 0001897652
ORGANIZATION NAME:
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39479
FILM NUMBER: 24596485
BUSINESS ADDRESS:
STREET 1: 520 MADISON AVENUE
STREET 2: FLOOR 19
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: (646) 805-5400
MAIL ADDRESS:
STREET 1: 520 MADISON AVENUE
STREET 2: FLOOR 19
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Balkan Richard Scott
CENTRAL INDEX KEY: 0002009470
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39479
FILM NUMBER: 24596482
MAIL ADDRESS:
STREET 1: 520 MADISON AVENUE
STREET 2: FLOOR 19
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SixFourThree GP, LLC
CENTRAL INDEX KEY: 0002009444
ORGANIZATION NAME:
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39479
FILM NUMBER: 24596484
BUSINESS ADDRESS:
STREET 1: 520 MADISON AVENUE
STREET 2: FLOOR 19
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: (646) 805-5400
MAIL ADDRESS:
STREET 1: 520 MADISON AVENUE
STREET 2: FLOOR 19
CITY: NEW YORK
STATE: NY
ZIP: 10022
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AKUMIN INC.
CENTRAL INDEX KEY: 0001776197
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 000000000
STATE OF INCORPORATION: A6
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 8300 W SUNRISE BLVD
CITY: PLANTATION
STATE: FL
ZIP: 33322
BUSINESS PHONE: 9546784489
MAIL ADDRESS:
STREET 1: 8300 W SUNRISE BLVD
CITY: PLANTATION
STATE: FL
ZIP: 33322
3
1
form3.xml
X0206
3
2024-01-24
0
0001776197
AKUMIN INC.
AKUMQ
0001897652
FOURSIXTHREE CAPITAL LP
520 MADISON AVENUE
FLOOR 19
NEW YORK
NY
10022
true
0002009444
SixFourThree GP, LLC
520 MADISON AVENUE
FLOOR 19
NEW YORK
NY
10022
true
0002009428
Kelly William Michael
520 MADISON AVENUE
FLOOR 19
NEW YORK
NY
10022
true
0002009470
Balkan Richard Scott
520 MADISON AVENUE
FLOOR 19
NEW YORK
NY
10022
true
Common Stock
8701720
I
See Footnote
Common Stock
1855131
I
See Footnote
These shares are held directly by FourSixThree Master Fund, LP ("Master Fund").
These shares are held directly by FourSixThree CAV Master, LP ("CAV Master" and, together with Master Fund, the "Funds").
SixFourThree GP, LLC ("SixFourThree GP") is the general partner of the Funds and FourSixThree Capital LP ("FourSixThree Capital") serves as investment adviser to the Funds. Mr. Kelly and Mr. Balkan serve as the voting members of FourSixThree Capital. By virtue of the foregoing relationships, each of SixFourThree GP, FourSixThree Capital, Mr. Kelly and Mr. Balkan (collectively, the "Reporting Persons") may be deemed to beneficially own the securities held by the Funds. Each Reporting Person disclaims beneficial ownership of the securities reported herein except to the extent of his or its pecuniary interest therein, if any, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
/s/ FourSixThree Capital LP, By: William M. Kelly, Chief Operating Officer
2024-02-05
/s/ SixFourThree GP, LLC, By: William M. Kelly, Partner & Managing Member
2024-02-05
/s/ William M. Kelly
2024-02-05
/s/ Richard S. Balkan
2024-02-05