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