13D Filing: Coliseum Capital and Lazydays Holdings Inc (LAZY)

Page 6 of 13

Page 6 of 13 – SEC Filing


CUSIP No. 52110H 100
  1.

Names of
reporting persons.

Christopher Shackelton

  2.

Check the appropriate box if a member
of a group (see instructions)

(a)  ☐        (b)  ☒

  3.

SEC use only

  4.

Source of funds (see instructions)

AF

  5.

Check if disclosure of legal
proceedings is required pursuant to Items 2(d) or 2(e)

  6.

Citizenship or place of
organization

United States

Number of

shares

beneficially

owned by

each

reporting

person

with

  7.

Sole voting power

0

  8.

Shared voting power

5,465,838 (1)

  9.

Sole dispositive power

0

10.

Shared dispositive power

5,465,838 (1)

11.

Aggregate amount beneficially owned by each reporting person

5,465,838 (1)

12.

Check if the aggregate amount in Row
(11) excludes certain shares (see instructions)

13.

Percent of class represented by amount
in Row (11)

39.2% (1)

14.

Type of reporting person (see
instructions)

IN

(1) Consists of (i) 4,968,944 shares of Common Stock that could be obtained upon the conversion of 500,000 shares of Preferred Stock at the current conversion rate; and (ii) 496,894 shares of Common Stock that could be
obtained upon the conversion of 496,894 Warrants.

Page 6 of 13

Follow Lazydays Holdings Inc. (NASDAQ:LAZY)

Page 6 of 13