FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Holley Inc. [ HLLY ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 08/05/2022 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 08/05/2022 | J(1) | 493,632 | A | $0 | 493,632 | I | By Rubel Family Management Trust U/A Dated 10/8/2018(2) | ||
Common Stock | 08/05/2022 | J(1) | 134,831 | A | $0 | 134,831 | I | By Matthew Rubel Family Annual Exclusion Trust FBO Joshua Rubel(3) | ||
Common Stock | 08/05/2022 | J(1) | 134,831 | A | $0 | 134,831 | I | By Matthew Rubel Family Annual Exclusion Trust FBO Jeffrey Rubel(4) | ||
Common Stock | 08/05/2022 | J(1) | 134,831 | A | $0 | 134,831 | I | By Matthew Rubel Family Annual Exclusion Trust FBO Michael Rubel(5) | ||
Common Stock | 26,320 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrants to purchase Common Stock | $11.5 | 08/05/2022 | J(1) | 233,333 | 10/09/2021(6) | 07/16/2026(6) | Common Stock | 233,333 | $0 | 233,333 | I | By Rubel Family Management Trust U/A Dated 10/8/2018(2) |
Explanation of Responses: |
1. On August 5, 2022, Empower Sponsor Holdings LLC ("Sponsor") effectuated a distribution of its 6,250,000 shares of common stock, par value $0.0001 per share (the "Common Stock") of Holley Inc. (the "Issuer") and 4,666,667 warrants to purchase Common Stock (the "Warrants") (and such distributions, the "Distribution"). As part of the Distribution, (i) 493,632 shares of Common Stock and 233,333 Warrants were distributed to the Rubel Family Management Trust U/A Dated 10/8/2018 ("Management Trust"), (ii) 134,831 shares of Common Stock was distributed to the Matthew Rubel Family Annual Exclusion Trust FBO Joshua Rubel (the "Joshua Trust"), (iii) 134,831 shares of Common Stock was distributed to the Matthew Rubel Family Annual Exclusion Trust FBO Jeffrey Rubel (the "Jeffrey Trust"), and (iv) 134,831 shares of Common Stock was distributed to the Matthew Rubel Family Annual Exclusion Trust FBO Michael Rubel (the "Michael Trust"). The remaining shares of Common Stock and Warrants previously hel |
2. Management Trust is the record holder of the securities reported. Mr. Rubel and Melissa Rubel are the trustees of the Management Trust and have shared voting and investment control over the securities held by the Management Trust. Each of Mr. Rubel and Ms. Rubel disclaim beneficial ownership except to the extent of their respective pecuniary interests therein. |
3. Joshua Trust is the record holder of the securities reported. Mr. Rubel is the trustee of the Joshua Trust and has voting and investment control over the securities held by the Joshua Trust. Mr. Rubel disclaims beneficial ownership except to the extent of his pecuniary interests therein. |
4. Jeffrey Trust is the record holder of the securities reported. Mr. Rubel is the trustee of the Jeffrey Trust and has voting and investment control over the securities held by the Jeffrey Trust. Mr. Rubel disclaims beneficial ownership except to the extent of his pecuniary interests therein. |
5. Michael Trust is the record holder of the securities reported. Mr. Rubel is the trustee of the Michael Trust and has voting and investment control over the securities held by the Michael Trust. Mr. Rubel disclaims beneficial ownership except to the extent of his pecuniary interests therein. |
6. The Warrants become exercisable at any time commencing on the later of one year from the closing of the Issuer's initial public offering, which occurred on October 9, 2020, and 30 days after the completion of Issuer's initial business combination, which closed on July 16, 2021, and expire five years after the completion of the initial business combination or earlier upon redemption or liquidation. |
/s/ Dominic Bardos, Attorney-In-Fact for Matthew E. Rubel | 08/08/2022 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |