SEC FORM 4

SEC Form 4

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^*

Underwood Peter Lauren

(Last)

(First)

(Middle)

C/O JENSYN ACQUISITION CORP.

800 WEST MAIN STREET, SUITE 204

(Street)

FREEHOLD

07728

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
Jensyn Acquisition Corp. [ JSYN ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director	X	10% Owner
Officer (give title below)		Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
04/12/2016

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	04/12/2016		J⁽¹⁾		550,000	D	$0	55,000⁽²⁾	I	By Jensyn Capital, LLC⁽³⁾
Common Stock								169,512	D
Common Stock	04/17/2016		J⁽⁴⁾		36,563	D	$0	132,949	D
Common Stock								55,000⁽²⁾	I	By Jensyn Capital, LLC⁽³⁾
Common Stock	05/13/2016		J⁽¹⁾		27,500	D	$0	27,500⁽²⁾	I	By Jensyn Capital, LLC⁽³⁾
Common Stock								132,949	D
Common Stock	07/22/2016		J⁽⁵⁾		17,551	D	$0	115,398	D
Common Stock								55,000⁽²⁾	I	By Jensyn Capital, LLC⁽³⁾
Common Stock	11/10/2016		J⁽⁶⁾		1,000	D	$0	114,398	D
Common Stock								27,500⁽²⁾	I	By Jensyn Capital, LLC⁽³⁾
Common Stock	12/02/2016		J⁽¹⁾		27,500	D	$0	114,398	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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)
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)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)

Explanation of Responses:

1. Represents shares distributed to certain members of Jensyn Capital, LLC as part of liquidating distribution.

2. The Reporting Person disclaims beneficial ownership of the shares held by Jensyn Capital, LLC except to the extent of the Reporting Person's pecuniary interest therein.

3. The Report Person is a manager of Jensyn Capital, LLC.

4. Represents shares forfeited as a result of the non-exercise of underwriter's over-allotment option.

5. Represents shares transferred to private placement investors and their assignees for no additional consideration.

6. Represents shares transferred to director of Issuer for no consideration.

	Peter Underwood	03/22/2017
	** 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).
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