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