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