0001661181-18-000047.txt : 20181212
0001661181-18-000047.hdr.sgml : 20181212
20181212210953
ACCESSION NUMBER: 0001661181-18-000047
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181210
FILED AS OF DATE: 20181212
DATE AS OF CHANGE: 20181212
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ades Alan A.
CENTRAL INDEX KEY: 0001757286
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37906
FILM NUMBER: 181232040
MAIL ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ERANI ALBERT
CENTRAL INDEX KEY: 0001074084
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37906
FILM NUMBER: 181232041
MAIL ADDRESS:
STREET 1: 150 DAN ROAD
STREET 2: 150 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 01002
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Erani Dennis
CENTRAL INDEX KEY: 0001760685
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37906
FILM NUMBER: 181232042
MAIL ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Organo PFG LLC
CENTRAL INDEX KEY: 0001757580
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37906
FILM NUMBER: 181232043
BUSINESS ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
BUSINESS PHONE: 781-575-0775
MAIL ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Organo Investors LLC
CENTRAL INDEX KEY: 0001757573
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37906
FILM NUMBER: 181232044
BUSINESS ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
BUSINESS PHONE: 781-575-0775
MAIL ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Alan Ades 2014 GRAT
CENTRAL INDEX KEY: 0001757567
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37906
FILM NUMBER: 181232045
BUSINESS ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
BUSINESS PHONE: 781-575-0775
MAIL ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Albert Erani Family Trust dated 12/29/2012
CENTRAL INDEX KEY: 0001760663
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37906
FILM NUMBER: 181232046
BUSINESS ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
BUSINESS PHONE: 781-575-0775
MAIL ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dennis Erani 2012 Issue Trust dated 12/20/12
CENTRAL INDEX KEY: 0001757455
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37906
FILM NUMBER: 181232047
BUSINESS ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
BUSINESS PHONE: 781-575-0775
MAIL ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GN 2016 Organo 10-Year GRAT u/a/d September 30, 2016
CENTRAL INDEX KEY: 0001757452
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37906
FILM NUMBER: 181232048
BUSINESS ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
BUSINESS PHONE: 781-575-0775
MAIL ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GN 2016 Family Trust u/a/d August 12, 2016
CENTRAL INDEX KEY: 0001757453
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37906
FILM NUMBER: 181232049
BUSINESS ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
BUSINESS PHONE: 781-575-0775
MAIL ADDRESS:
STREET 1: C/O ORGANOGENESIS INC.
STREET 2: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Organogenesis Holdings Inc.
CENTRAL INDEX KEY: 0001661181
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
BUSINESS PHONE: 781-575-0775
MAIL ADDRESS:
STREET 1: 85 DAN ROAD
CITY: CANTON
STATE: MA
ZIP: 02021
FORMER COMPANY:
FORMER CONFORMED NAME: Avista Healthcare Public Acquisition Corp.
DATE OF NAME CHANGE: 20151215
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2018-12-10
0001661181
Organogenesis Holdings Inc.
ORGO
0001757286
Ades Alan A.
C/O A&E STORES, INC.
1000 HUYLER STREET
TETERBORO
NJ
07608
1
0
1
0
0001074084
ERANI ALBERT
C/O A&E STORES, INC.
1000 HUYLER STREET
TETERBORO
NJ
07608
1
0
1
0
0001760685
Erani Dennis
C/O A&E STORES, INC.
1000 HUYLER STREET
TETERBORO
NJ
07608
0
0
1
0
0001757580
Organo PFG LLC
C/O A&E STORES, INC.
1000 HUYLER STREET
TETERBORO
NJ
07608
0
0
1
0
0001757573
Organo Investors LLC
C/O A&E STORES, INC.
1000 HUYLER STREET
TETERBORO
NJ
07608
0
0
1
0
0001757567
Alan Ades 2014 GRAT
C/O A&E STORES, INC.
1000 HUYLER STREET
TETERBORO
NJ
07608
0
0
1
0
0001760663
Albert Erani Family Trust dated 12/29/2012
C/O A&E STORES, INC.
1000 HUYLER STREET
TETERBORO
NJ
07608
0
0
1
0
0001757455
Dennis Erani 2012 Issue Trust dated 12/20/12
C/O A&E STORES, INC.
1000 HUYLER STREET
TETERBORO
NJ
07608
0
0
1
0
0001757452
GN 2016 Organo 10-Year GRAT u/a/d September 30, 2016
35 SAWGRASS DRIVE
BELLPORT
NY
11713
0
0
1
0
0001757453
GN 2016 Family Trust u/a/d August 12, 2016
35 SAWGRASS DRIVE
BELLPORT
NY
11713
0
0
1
0
Common Stock
2018-12-10
4
A
0
6279441
A
66881978
D
Common Stock
2018-12-10
4
A
0
781904
A
67663882
D
Common Stock
2018-12-10
4
A
0
182841
A
67846723
D
Received by Alan A. Ades in connection with the Issuer's business combination (the "Merger") with Organogenesis Inc. ("Organogenesis") in accordance with the terms of the Agreement and Plan of Merger dated as of August 17, 2018 among the Issuer, which was then referred to as Avista Healthcare Public Acquisition Corp., Avista Healthcare Merger Sub, Inc. and Organogenesis, in exchange for 3,093,320 shares of common stock of Organogenesis previously held by Mr. Ades.
The reported securities are held directly by Alan A. Ades, who is a member of the Group (as defined below).
Received by Albert Erani in connection with the Merger in exchange for 385,174 shares of common stock of Organogenesis previously held by Mr. Erani.
The reported securities are held directly by Albert Erani, who is a member of the Group.
Received by Glenn H. Nussdorf in connection with the Merger in exchange for 90,069 shares of common stock of Organogenesis previously held by Mr. Nussdorf.
The reported securities are held directly by Glenn H. Nussdorf, who is a member of the Group.
Alan A. Ades, Albert Erani, Glenn H. Nussdorf, Dennis Erani, Starr Wisdom and certain of their respective affiliates, including Organo PFG LLC, Organo Investors LLC, Dennis Erani 2012 Issue Trust, Alan Ades as Trustee of the Alan Ades 2014 GRAT, Albert Erani Family Trust dated 12/29/2012, GN 2016 Family Trust u/a/d August 12, 2016 and GN 2016 Organo 10-Year GRAT u/a/d September 30, 2016, referred to collectively as the "Controlling Entities", are parties to a Controlling Stockholders' Agreement dated December 10, 2018 with Organogenesis Holdings Inc. (the "Stockholders' Agreement"). The Stockholders' Agreement, among other things, provides for nomination rights of the Controlling Entities with respect to four directors of the Issuer and qualifies the Issuer as a "controlled company" under the Nasdaq listing rules. As a result of the Stockholders' Agreement, the reporting persons may be deemed to be members of a group (the "Group") holding over 10% of the outstanding shares of common stock of the issuer for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended.
This is Form 4 No. 1 of 2 filed for the Controlling Entities.
/s/ Stacie S. Aarestad, Attorney-in-Fact
2018-12-12