0001104659-21-132981.txt : 20211102 0001104659-21-132981.hdr.sgml : 20211102 20211102160119 ACCESSION NUMBER: 0001104659-21-132981 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211101 FILED AS OF DATE: 20211102 DATE AS OF CHANGE: 20211102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COHEN PETER A CENTRAL INDEX KEY: 0001042589 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55882 FILM NUMBER: 211371089 MAIL ADDRESS: STREET 1: 40 WEST 57TH STREET STREET 2: SUITE 2020 CITY: NEW YORK STATE: NY ZIP: 10019 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Andover National Corp CENTRAL INDEX KEY: 0001712543 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 832216345 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 333 AVENUE OF THE AMERICAS STREET 2: SUITE 2000 CITY: MIAMI STATE: FL ZIP: 33131 BUSINESS PHONE: (786) 871-3333 MAIL ADDRESS: STREET 1: 333 AVENUE OF THE AMERICAS STREET 2: SUITE 2000 CITY: MIAMI STATE: FL ZIP: 33131 FORMER COMPANY: FORMER CONFORMED NAME: Edgar Express, Inc. DATE OF NAME CHANGE: 20170721 4 1 tm2131670d2_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-11-01 0 0001712543 Andover National Corp NONE 0001042589 COHEN PETER A C/O ANDOVER NATIONAL CORPORATION, 333 AVENUE OF THE AMERICAS SUITE 2000 MIAMI FL 33131-2185 1 1 0 0 Chief Executive Officer Class A Common Stock 2021-11-01 4 C 0 81198 0 A 452527 I By Self as Trustee for The Peter A. Cohen Revocable Trust Class B Common Stock 2021-11-01 4 P 0 40599 11 A Class A Common Stock 40599 81198 I By Self as Trustee for The Peter A. Cohen Revocable Trust Class B Common Stock 2021-11-01 4 C 0 81198 0 D Class A Common Stock 81198 0 I By Self as Trustee for The Peter A. Cohen Revocable Trust On November 1, 2021, Mr. Cohen purchased 40,599 shares of Class B Common Stock through The Peter A. Cohen Revocable Trust in a privately negotiated sale. Each share of Class B Common Stock may be converted, at the option of the holder, at any time and from time to time, into one (1) share of Class A Common Stock. The Class B Common Stock may be converted into shares of Class A Common Stock at any time, at the holder's election, and therefore has no expiration date. On November 1, 2021, Mr. Cohen elected to convert all of his 81,198 shares of Class B Common Stock into 81,198 shares of Class A Common Stock. /s/ Peter A. Cohen 2021-11-02