-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, VnsPjacFyFu/hnpcfvMrUlcMWyFWALe/RscsLOMOox9RrF33PqYYS75RALTKB2Lv V5v3fjLTyrDF+5hiGfWBcg== 0001288136-07-000062.txt : 20071113 0001288136-07-000062.hdr.sgml : 20071112 20071113165701 ACCESSION NUMBER: 0001288136-07-000062 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20071113 DATE AS OF CHANGE: 20071113 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Golden Pond Healthcare, Inc. CENTRAL INDEX KEY: 0001407031 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 260183099 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-83353 FILM NUMBER: 071239074 BUSINESS ADDRESS: STREET 1: 18 ARROWHEAD WAY CITY: DARIEN STATE: CT ZIP: 06820 BUSINESS PHONE: 203-655-3215 MAIL ADDRESS: STREET 1: 18 ARROWHEAD WAY CITY: DARIEN STATE: CT ZIP: 06820 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Pine River Capital Management L.P. CENTRAL INDEX KEY: 0001288136 IRS NUMBER: 710868907 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 800 NICOLLET MALL CITY: MINNEAPOLIS STATE: MN ZIP: 55402 BUSINESS PHONE: 6122383355 MAIL ADDRESS: STREET 1: 800 NICOLLET MALL CITY: MINNEAPOLIS STATE: MN ZIP: 55402 FORMER COMPANY: FORMER CONFORMED NAME: Pine River Capital Management, L.P. DATE OF NAME CHANGE: 20040512 FORMER COMPANY: FORMER CONFORMED NAME: NISSWA MASTER FUND LTD DATE OF NAME CHANGE: 20040422 SC 13G 1 gphu111307.txt SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b)(c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No. ) Golden Pond Healthcare, Inc. - ------------------------------------------------------------------------------- (Name of Issuer) Units, $.001 Par Value - ------------------------------------------------------------------------------- (Title of Class of Securities) 38116J208 - ------------------------------------------------------------------------------- (CUSIP Number) November 7, 2007 - ------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [x] Rule 13d-1(c) [ ] Rule 13d-1(d) CUSIP No. 38116J208 --------------------- 1. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Brian Taylor 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [_] (b) [x] 3. SEC USE ONLY 4. CITIZENSHIP OR PLACE OF ORGANIZATION United States NUMBER OF UNITS BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH 5. SOLE VOTING POWER 0 6. SHARED VOTING POWER 1,325,000 7. SOLE DISPOSITIVE POWER 0 8. SHARED DISPOSITIVE POWER 1,325,000 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,325,000 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN UNITS [_] 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 6.78% 12. TYPE OF REPORTING PERSON IN CUSIP No. 38116J208 --------------------- 1. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Pine River Capital Management L.P. 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [_] (b) [x] 3. SEC USE ONLY 4. CITIZENSHIP OR PLACE OF ORGANIZATION Delaware, United States NUMBER OF UNITS BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH 5. SOLE VOTING POWER 0 6. SHARED VOTING POWER 1,325,000 7. SOLE DISPOSITIVE POWER 0 8. SHARED DISPOSITIVE POWER 1,325,000 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,325,000 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN UNITS [_] 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 6.78% 12. TYPE OF REPORTING PERSON PN CUSIP No. 38116J208 --------------------- 1. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) Nisswa Master Fund Ltd. 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [_] (b) [X] 3. SEC USE ONLY 4. CITIZENSHIP OR PLACE OF ORGANIZATION Cayman Islands NUMBER OF UNITS BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH 5. SOLE VOTING POWER 0 6. SHARED VOTING POWER 1,325,000 7. SOLE DISPOSITIVE POWER 0 8. SHARED DISPOSITIVE POWER 1,325,000 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,325,000 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN UNITS (SEE INSTRUCTIONS) [_] 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 6.78% 12. TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) CO - ------------------------------------------------------------------------------- CUSIP No. 38116J208 --------------------- Item 1(a). Name of Issuer: Golden Pond Healthcare, Inc. -------------------------------------------------------------------- Item 1(b). Address of Issuer's Principal Executive Offices: 18 Arrowhead Way Darien, CT 06820 -------------------------------------------------------------------- Item 2(a). Name of Persons Filing: Brian Taylor Pine River Capital Management L.P. Nisswa Master Fund Ltd. -------------------------------------------------------------------- Item 2(b). Address of Principal Business Office, or if None, Residence: Brian Taylor Pine River Capital Management L.P. 800 Nicollet Mall Suite 2850 Minneapolis, MN 55402 Nisswa Master Fund Ltd. c/o Pine River Capital Management L.P. 800 Nicollet Mall Suite 2850 Minneapolis, MN 55402 -------------------------------------------------------------------- Item 2(c). Citizenship: Brian Taylor - United States Pine River Capital Management L.P. - Delaware, United States Nisswa Master Fund Ltd. - Cayman Islands -------------------------------------------------------------------- Item 2(d). Title of Class of Securities: Units, $.001 Par Value -------------------------------------------------------------------- Item 2(e). CUSIP Number: 38116J208 -------------------------------------------------------------------- Item 3. If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a: (a) [_] Broker or dealer registered under Section 15 of the Exchange Act. (b) [_] Bank as defined in Section 3(a)(6) of the Exchange Act. (c) [_] Insurance company as defined in Section 3(a)(19) of the Exchange Act. (d) [_] Investment company registered under Section 8 of the Investment Company Act. (e) [_] An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E); (f) [_] An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F); (g) [_] A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G); (h) [_] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act; (i) [_] A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act; (j) [_] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). Item 4. Ownership. Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a) Amount beneficially owned: Brian Taylor - 1,325,000 Pine River Capital Management L.P. - 1,325,000 Nisswa Master Fund Ltd. - 1,325,000 ---------------------------------------------------------------------- (b) Percent of class: Brian Taylor - 6.78% Pine River Capital Management L.P. - 6.78% Nisswa Master Fund Ltd. - 6.78% ---------------------------------------------------------------------- (c) Number of units as to which such person has: (i) Sole power to vote or to direct the vote: Brian Taylor - 0 Pine River Capital Management L.P. - 0 Nisswa Master Fund Ltd. - 0 (ii) Shared power to vote or to direct the vote: Brian Taylor - 1,325,000 Pine River Capital Management L.P. - 1,325,000 Nisswa Master Fund Ltd. - 1,325,000 (iii) Sole power to dispose or to direct the disposition of: Brian Taylor - 0 Pine River Capital Management L.P. - 0 Nisswa Master Fund Ltd. - 0 (iv) Shared power to dispose or to direct the disposition of: Brian Taylor - 1,325,000 Pine River Capital Management L.P. - 1,325,000 Nisswa Master Fund Ltd. - 1,325,000 Item 5. Ownership of Five Percent or Less of a Class. N/A ----------------------------------------------------------------------- Item 6. Ownership of More Than Five Percent on Behalf of Another Person. N/A ----------------------------------------------------------------------- Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person. N/A ----------------------------------------------------------------------- Item 8. Identification and Classification of Members of the Group. N/A ---------------------------------------------------------------------- Item 9. Notice of Dissolution of Group. N/A ----------------------------------------------------------------------- Item 10. Certifications. By signing below, each reporting person certifies that, to the best of its knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. /s/ Brian Taylor* - --------------------- Brian Taylor PINE RIVER CAPITAL MANAGEMENT L.P.* By: Pine River Capital Management LLC, its general partner /s/ Brian Taylor - --------------------- By: Brian Taylor Title: Sole Member Nisswa Master Fund Ltd.* /s/ Brian Taylor - - -------------------- By: Brian Taylor Title: Director Date: November 13, 2007 *The Reporting Persons disclaim beneficial ownership in the units reported herein except to the extent of their pecuniary interest therein. EXHIBIT A AGREEMENT The undersigned agree that this Schedule 13G dated November 13, 2007 relating to the Units, $.001 Par Value of Golden Pond Healthcare, Inc. shall be filed on behalf of the undersigned. /s/ Brian Taylor - --------------------- Brian Taylor PINE RIVER CAPITAL MANAGEMENT L.P. By: Pine River Capital Management LLC, its general partner /s/ Brian Taylor - --------------------- By: Brian Taylor Title: Sole Member Nisswa Master Fund Ltd. /s/ Brian Taylor - --------------------- By: Brian Taylor Title: Director -----END PRIVACY-ENHANCED MESSAGE-----