Filing Details

Accession Number:
0000899243-18-005536
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-02-26 18:59:55
Reporting Period:
2018-02-22
Accepted Time:
2018-02-26 18:59:55
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1697152 Convergeone Holdings Inc. CVON Services-Prepackaged Software (7372) 814619427
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1701827 Neil Goldberg C/O Forum Investors I, Llc
135 East 57Th Street 8Th Floor
New York NY 10022
No No No Yes
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2018-02-22 312,500 $8.00 312,500 No 4 P Indirect See Footnote
Common Stock Acquisiton 2018-02-22 126,250 $0.00 438,750 No 4 J Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect See Footnote
No 4 J Indirect See Footnote
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrants Acquisiton 2018-02-22 25,000 $0.00 25,000 $11.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
25,000 2018-04-12 2023-02-22 No 4 J Indirect
Footnotes
  1. Represents receipt of the reporting person's pro rata distribution of the shares of common stock and warrants of the registrant held by Forum Investors I, LLC.
  2. These securities are owned by the NeilGoldberg 1995 Irrevocable Trust of which the person is the trustee.
  3. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
  4. The warrant will become exercisable 12 months from the closing of the registrant initial public offering, which occurred on April 12, 2017.
  5. The warrant will expire five years after the completion of that certain Agreement and Plan of Merger, dated as of November 30, 2017, by and among the registrant, FMC Merger Subsidiary Corp., FMC Merger Subsidiary LLC, Old C1 and Clearlake Capital Management III, L.P. in the capacity as the Seller Representative, or earlier upon redemption.