0000899243-16-029448.txt : 20160920
0000899243-16-029448.hdr.sgml : 20160920
20160920170116
ACCESSION NUMBER: 0000899243-16-029448
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160916
FILED AS OF DATE: 20160920
DATE AS OF CHANGE: 20160920
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: IMPAC MORTGAGE HOLDINGS INC
CENTRAL INDEX KEY: 0001000298
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 330675505
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 19500 JAMBOREE ROAD
CITY: IRVINE
STATE: CA
ZIP: 92612
BUSINESS PHONE: 9494753600
MAIL ADDRESS:
STREET 1: 19500 JAMBOREE ROAD
CITY: IRVINE
STATE: CA
ZIP: 92612
FORMER COMPANY:
FORMER CONFORMED NAME: IMPERIAL CREDIT MORTGAGE HOLDINGS INC
DATE OF NAME CHANGE: 19950911
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pickup Todd M
CENTRAL INDEX KEY: 0001457272
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-14100
FILM NUMBER: 161894358
MAIL ADDRESS:
STREET 1: 2532 DUPONT DRIVE
CITY: IRVINE
STATE: CA
ZIP: 92612
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-09-16
0
0001000298
IMPAC MORTGAGE HOLDINGS INC
IMH
0001457272
Pickup Todd M
1600 E. COAST HIGHWAY
NEWPORT
CA
92660
0
0
1
0
Common Stock
2016-09-16
4
P
0
200000
13.00
A
1398851
I
See footnote.
Common Stock
100000
D
Common Stock
299800
I
See footnote.
Common Stock
50000
I
See footnote
Common Stock
100000
I
See footnote
Common Stock
100000
I
See footnote
Convertible Promissory Note Due 2020
21.50
2016-01-02
2020-05-09
Common Stock
465117
10000000.00
I
See footnotes
The shares of common stock were acquired directly by Vintage Trust II, dated July 19, 2007 (the "Trust"), over which shares Reporting Person exercises sole voting and investment power, and the number of shares reflected in column 5 represents the aggregate number of shares of common stock owned directly by the Trust upon execution of this purchase transaction.
The shares of common stock are held directly by Pickup Grandchildren's Trust, over which shares Reporting Person exercises sole voting and investment power.
The shares of common stock are held directly by Vintage Trust, dated October 28, 1993, over which shares Reporting Person shares voting and investment power.
The shares of common stock are held directly by Pickup Living Trust, over which shares Reporting Person exercises sole voting and investment power.
The shares of common stock are held directly by Plus Four Equity Partners, L.P., over which shares Reporting Person shares voting and investment power.
As previously reported on a Form 4 filed by Reporting Person on May 11, 2015, on May 8, 2015, the Trust purchased a Convertible Promissory Note Due 2020 in the original principal amount of $10,000,000 that is convertible by the Trust at any time after January 1, 2016, and, upon conversion of the original principal amount prior to maturity at the initial conversion price of $21.50 per share (subject to adjustment in the event of stock splits, stock dividends and reclassifications), the Trust will receive 465,117 shares of common stock (subject to adjustment in the event of stock splits, stock dividends and reclassifications). The Convertible Promissory Note Due 2020 note is due and payable, to the extent not converted, on or before May 9, 2020.
As of September 16, 2016, Reporting Person may be deemed to beneficially own an aggregate of 2,513,768 shares of the common stock, consisting of (a) 100,000 shares owned directly, and (b) an aggregate of 2,413,768 shares owned indirectly, consisting of (i) 465,117 shares that the Trust may acquire at any time after January 1, 2016 upon conversion (at the initial conversion price of $21.50 per share) of the outstanding principal balance of a Convertible Promissory Note Due 2020 owned directly by the Trust, (ii) 299,800 shares owned directly by Pickup Grandchildren's Trust (over which shares Reporting Person exercises sole voting and investment power), (iii) 100,000 shares owned directly by Pickup Living Trust (over which shares Reporting Person exercises sole voting and investment power), (iv) 1,398,851 shares owned directly by the Trust (over which shares Reporting Person exercises sole voting and investment power), (Continued in footnote 8)
(v) 100,000 shares owned directly by Plus Four Equity Partners, L.P. (over which shares Reporting Person shares voting and investment power), and (vi) 50,000 shares owned directly by Vintage Trust, dated October 28, 1993 (over which shares Reporting Person shares voting and investment power).
/s/ TODD M. PICKUP
2016-09-20