0001144204-18-052583.txt : 20181004
0001144204-18-052583.hdr.sgml : 20181004
20181004192447
ACCESSION NUMBER: 0001144204-18-052583
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181004
FILED AS OF DATE: 20181004
DATE AS OF CHANGE: 20181004
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Collier Creek Partners LLC
CENTRAL INDEX KEY: 0001739585
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38686
FILM NUMBER: 181108887
BUSINESS ADDRESS:
STREET 1: 200 PARK AVENUE
STREET 2: 58TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10166
BUSINESS PHONE: 212-355-5515
MAIL ADDRESS:
STREET 1: 200 PARK AVENUE
STREET 2: 58TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10166
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chu Chinh
CENTRAL INDEX KEY: 0001306507
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38686
FILM NUMBER: 181108888
MAIL ADDRESS:
STREET 1: THE BLACKSTONE GROUP
STREET 2: 345 PARK AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10154
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DEROMEDI ROGER K
CENTRAL INDEX KEY: 0001189715
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38686
FILM NUMBER: 181108889
MAIL ADDRESS:
STREET 1: KRAFT FOODS INC
STREET 2: THREE LAKES DRIVE
CITY: NORTHFIELD
STATE: IL
ZIP: 60093
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Giordano Jason K
CENTRAL INDEX KEY: 0001458039
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38686
FILM NUMBER: 181108890
MAIL ADDRESS:
STREET 1: 345 PARK AVENUE
STREET 2: 31ST FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10154
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Collier Creek Holdings
CENTRAL INDEX KEY: 0001739566
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 981425274
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 200 PARK AVENUE
STREET 2: 58TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10166
BUSINESS PHONE: 212-355-5515
MAIL ADDRESS:
STREET 1: 200 PARK AVENUE
STREET 2: 58TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10166
4
1
tv504328_4.xml
OWNERSHIP DOCUMENT
X0306
4
2018-10-04
0
0001739566
Collier Creek Holdings
CCH
0001739585
Collier Creek Partners LLC
C/O COLLIER CREEK HOLDINGS
200 PARK AVENUE, 58TH FLOOR
NEW YORK
NY
10166
0
0
1
0
0001306507
Chu Chinh
C/O COLLIER CREEK HOLDINGS
200 PARK AVENUE, 58TH FLOOR
NEW YORK
NY
10166
0
0
1
0
0001189715
DEROMEDI ROGER K
C/O COLLIER CREEK HOLDINGS
200 PARK AVENUE, 58TH FLOOR
NEW YORK
NY
10166
0
0
1
0
0001458039
Giordano Jason K
C/O COLLIER CREEK HOLDINGS
200 PARK AVENUE, 58TH FLOOR
NEW YORK
NY
10166
0
0
1
0
Class B Ordinary Shares
2018-10-04
4
J
0
1437500
0
A
Class A Ordinary Shares
1437500
12180000
D
The Class B Ordinary Shares are convertible for the Issuer's Class A Ordinary Shares as described under the heading "Description of Securities" in the Issuer's registration statement on Form S-1 (File No. 333-227295) and have no expiration date.
On October 4, 2018, in connection with the increase in the size of its initial public offering, the Issuer effected a share capitalization with respect to the Issuer's Class B Ordinary Shares.
Includes 1,500,000 Class B Ordinary Shares that are subject to forfeiture depending on the extent to which the underwriters in the Issuer's initial public offering do not exercise their over-allotment option.
The securities are held directly by Collier Creek Partners LLC. Chinh Chu, Roger K. Deromedi and Jason K. Giordano share voting and dispositive power over the securities held by Collier Creek Partners LLC. Chinh Chu, Roger K. Deromedi and Jason K. Giordano each disclaim beneficial ownership over any securities owned by Collier Creek Partners LLC other than to the extent of any pecuniary interest he may have therein, directly or indirectly.
/s/ Joel L. Rubinstein, Attorney-in-Fact for Collier Creek Partners LLC
2018-10-04
/s/ Joel L. Rubinstein, Attorney-in-Fact for Chinh Chu
2018-10-04
/s/ Joel L. Rubinstein, Attorney-in-Fact for Roger Deromedi
2018-10-04
/s/ Joel L. Rubinstein, Attorney-in-Fact for Jason Giordano
2018-10-04