Page 7 of 10 – SEC Filing
CUSIP No. 09069N108 (Common Stock)
1. Names of
Reporting Persons.
Christopher Shackelton
2. Check the Appropriate Box if a Member
of a Group (See Instructions)
(a) ¨ (b) x
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
23,182,758 (1)
9. Sole Dispositive Power
0
10. Shared Dispositive Power
23,182,758 (1)
11. Aggregate Amount Beneficially Owned by Each Reporting Person
23,182,758 (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)
17.6% (1)
14. Type of Reporting Person (See
Instructions)
IN
(1) Includes (a) 5,622,410 Common Shares, (b) 241,749 Common Shares that could be obtained upon conversion of 10,823 shares of Series A Convertible Preferred Stock, (c) 13,718,600 Common Shares that could be
obtained upon conversion of 614,177 shares of Series C Convertible Preferred Stock, (d) 1,800,000 Common Shares that could be obtained upon conversion of 1,800,000 Class A Warrants, and (e) 1,800,000 Common Shares that could be
obtained upon conversion of 1,800,000 Class B Warrants.
Page 7 of 9
Follow Option Care Health Inc. (NASDAQ:OPCH)
Follow Option Care Health Inc. (NASDAQ:OPCH)
We may use your email to send marketing emails about our services. Click here to read our privacy policy.
CUSIP No. 09069N108 (Common Stock)
| 1. | Names of Christopher Shackelton | |||||
| 2. | Check the Appropriate Box if a Member (a) ¨ (b) x | |||||
| 3. | SEC Use Only | |||||
| 4. | Source of Funds (See Instructions) AF | |||||
| 5. | Check if Disclosure of Legal ¨ | |||||
| 6. | Citizenship or Place of United States | |||||
| Number of Shares Beneficially Owned by Each Reporting Person With | 7. | Sole Voting Power 0 | ||||
| 8. | Shared Voting Power 23,182,758 (1) | |||||
| 9. | Sole Dispositive Power 0 | |||||
| 10. | Shared Dispositive Power 23,182,758 (1) | |||||
| 11. | Aggregate Amount Beneficially Owned by Each Reporting Person 23,182,758 (1) | |||||
| 12. | Check if the Aggregate Amount in Row ¨ | |||||
| 13. | Percent of Class Represented by Amount 17.6% (1) | |||||
| 14. | Type of Reporting Person (See IN | |||||
| (1) | Includes (a) 5,622,410 Common Shares, (b) 241,749 Common Shares that could be obtained upon conversion of 10,823 shares of Series A Convertible Preferred Stock, (c) 13,718,600 Common Shares that could be obtained upon conversion of 614,177 shares of Series C Convertible Preferred Stock, (d) 1,800,000 Common Shares that could be obtained upon conversion of 1,800,000 Class A Warrants, and (e) 1,800,000 Common Shares that could be obtained upon conversion of 1,800,000 Class B Warrants. |
Page 7 of 9
