0001104659-24-040753.txt : 20240328
0001104659-24-040753.hdr.sgml : 20240328
20240328212128
ACCESSION NUMBER: 0001104659-24-040753
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231229
FILED AS OF DATE: 20240328
DATE AS OF CHANGE: 20240328
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Simpson Anna
CENTRAL INDEX KEY: 0002009306
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36589
FILM NUMBER: 24801757
MAIL ADDRESS:
STREET 1: 1501 HALL JOHNSON ROAD
STREET 2: #1802
CITY: COLLEYVILLE
STATE: TX
ZIP: 76034
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ADS Manager, LLC
CENTRAL INDEX KEY: 0002009305
ORGANIZATION NAME:
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36589
FILM NUMBER: 24801758
BUSINESS ADDRESS:
STREET 1: 1501 HALL JOHNSON ROAD
STREET 2: #1802
CITY: COLLEYVILLE
STATE: TX
ZIP: 76034
BUSINESS PHONE: 214-537-8843
MAIL ADDRESS:
STREET 1: 1501 HALL JOHNSON ROAD
STREET 2: #1802
CITY: COLLEYVILLE
STATE: TX
ZIP: 76034
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Impact Prosperity Partners, LLC
CENTRAL INDEX KEY: 0002009889
ORGANIZATION NAME:
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36589
FILM NUMBER: 24801760
BUSINESS ADDRESS:
STREET 1: 424 FORT HILL DRIVE
STREET 2: SUITE 144
CITY: NAPERVILLE
STATE: IL
ZIP: 60540
BUSINESS PHONE: (630) 615-8683
MAIL ADDRESS:
STREET 1: 424 FORT HILL DRIVE
STREET 2: SUITE 144
CITY: NAPERVILLE
STATE: IL
ZIP: 60540
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Impact Services, LLC
CENTRAL INDEX KEY: 0002009431
ORGANIZATION NAME:
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36589
FILM NUMBER: 24801759
BUSINESS ADDRESS:
STREET 1: 424 FORT HILL DRIVE
STREET 2: SUITE 144
CITY: NAPERVILLE
STATE: IL
ZIP: 60540
BUSINESS PHONE: (630) 615-8683
MAIL ADDRESS:
STREET 1: 424 FORT HILL DRIVE
STREET 2: SUITE 144
CITY: NAPERVILLE
STATE: IL
ZIP: 60540
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Wilhelmina International, Inc.
CENTRAL INDEX KEY: 0001013706
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742]
ORGANIZATION NAME: 07 Trade & Services
IRS NUMBER: 742781950
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 200 CRESCENT COURT
STREET 2: SUITE 1400
CITY: DALLAS
STATE: TX
ZIP: 75201
BUSINESS PHONE: 2146617488
MAIL ADDRESS:
STREET 1: 200 CRESCENT COURT
STREET 2: SUITE 1400
CITY: DALLAS
STATE: TX
ZIP: 75201
FORMER COMPANY:
FORMER CONFORMED NAME: NEW CENTURY EQUITY HOLDINGS CORP
DATE OF NAME CHANGE: 20010220
FORMER COMPANY:
FORMER CONFORMED NAME: BILLING CONCEPTS CORP
DATE OF NAME CHANGE: 19980814
FORMER COMPANY:
FORMER CONFORMED NAME: BILLING INFORMATION CONCEPTS CORP
DATE OF NAME CHANGE: 19960722
4
1
tm249749-2_4seq1.xml
OWNERSHIP DOCUMENT
X0508
4
2023-12-29
1
0001013706
Wilhelmina International, Inc.
WHLM
0002009889
Impact Prosperity Partners, LLC
424 FORT HILL DRIVE, SUITE 144
NAPERVILLE
IL
60540
0
0
0
1
Former 10% Owner
0002009431
Impact Services, LLC
424 FORT HILL DRIVE, SUITE 144
NAPERVILLE
IL
60540
0
0
0
1
Former 10% Owner
0002009305
ADS Manager, LLC
424 FORT HILL DRIVE, SUITE 144
NAPERVILLE
IL
60540
0
0
0
1
Former 10% Owner
0002009306
Simpson Anna
424 FORT HILL DRIVE, SUITE 144
NAPERVILLE
IL
60540
0
0
0
1
Former 10% Owner
0
Common Stock, par value $0.01 per share
2023-12-29
4
J
0
950000
D
0
D
These securities were beneficially owned directly by Impact Prosperity Partners, LLC ("IPP"), for the benefit of certain holders of rights as lenders under certain secured notes (the "Lenders") (IPP, in such capacity, the "Record Owner"). Impact Services, LLC ("IPS") and ADS Manager, LLC ("ADS") are the managing members of IPP. Mr. Rajesh Gupta is the manager and a member of IPS. Ms. Simpson is the sole member of ADS. Immediately after acquisition of these securities on December 29, 2023, the Record Owner transferred record ownership of these securities to its affiliate Omni Retail Enterprises LLC, for the benefit of the Lenders. There was no change in the pecuniary interests in these securities as a result of such transfer.
Each Reporting Person disclaims beneficial ownership of all securities reported herein, except to the extent of their pecuniary interest therein, if any, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of such securities for purposes of Section 16 of the Securities and Exchange Act of 1934 or for any other purpose.
/s/ Rajesh Gupta, as an authorized signatory of IPP and IPS
2024-03-28
/s/ Anna Simpson, for herself and as an authorized signatory of ADS
2024-03-28