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