0001493152-21-027350.txt : 20211105 0001493152-21-027350.hdr.sgml : 20211105 20211105160359 ACCESSION NUMBER: 0001493152-21-027350 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211103 FILED AS OF DATE: 20211105 DATE AS OF CHANGE: 20211105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TOMASHOT NICHOLAS J CENTRAL INDEX KEY: 0001230539 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38424 FILM NUMBER: 211384464 MAIL ADDRESS: STREET 1: C/O LAZYDAYS HOLDINGS, INC. STREET 2: 6130 LAZY DAYS BOULEVARD CITY: SEFFNER STATE: FL ZIP: 33584 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lazydays Holdings, Inc. CENTRAL INDEX KEY: 0001721741 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 250 W 57TH STREET STREET 2: SUITE 2223 CITY: NEW YORK STATE: NY ZIP: 10107 BUSINESS PHONE: 646-565-3861 MAIL ADDRESS: STREET 1: 250 W 57TH STREET STREET 2: SUITE 2223 CITY: NEW YORK STATE: NY ZIP: 10107 FORMER COMPANY: FORMER CONFORMED NAME: Andina II Holdco Corp. DATE OF NAME CHANGE: 20171103 4 1 ownership.xml X0306 4 2021-11-03 0 0001721741 Lazydays Holdings, Inc. LAZY 0001230539 TOMASHOT NICHOLAS J C/O LAZYDAYS HOLDINGS, INC., 6130 LAZY DAYS BOULEVARD SEFFNER, FL 33584 0 1 0 0 Chief Financial Officer Common Stock 2021-11-03 4 M 0 36277 11.10 A 97303 D Common Stock 2021-11-03 4 S 0 36277 21.68 D 61026 D Common Stock 2021-11-04 4 M 0 5197 11.10 A 66223 D Common Stock 2021-11-04 4 S 0 5197 22.08 D 61026 D Employee Stock Option (right to buy) 11.10 2021-11-03 4 M 0 36277 0 D 2023-05-07 Common Stock 36277 163534 D Employee Stock Option (right to buy) 11.10 2021-11-04 4 M 0 5197 0 D 2023-05-07 Common Stock 5197 158337 D The shares were exercised and sold pursuant to a 10b5-1 Sales Plan. This transaction was executed in multiple trades at prices ranging from $21.50 to $21.83. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the Securities and Exchange Commission staff, the Issuer or a security holder of the Issuer, full information regarding the number of shares sold at each separate price for all transactions reported on this Form 4 This transaction was executed in multiple trades at prices ranging from $21.70 to $22.36. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the Securities and Exchange Commission staff, the Issuer or a security holder of the Issuer, full information regarding the number of shares sold at each separate price for all transactions reported on this Form 4 The option shall vest as follows and shall be exercisable only to the extent that it has vested: 30% of the option shall vest once the VWAP (defined below) is equal to or greater than $13.125 per share for at least thirty (30) out of thirty-five (35) consecutive trading days ("Specific Period"); an additional 30% of the option shall vest once the VWAP is equal to or greater than $17.50 per share for a Specific Period; an additional 30% of the option shall vest once the VWAP is equal to or greater than $21.875 per share for a Specific Period; and an additional 10% of the option shall vest once the VWAP is equal to or greater than $35 per share for a Specific Period; provided that the reporting person remains continuously employed by the company (and/or any of its subsidiaries) from the grant date through (and including) the relevant date of vesting. Any such VWAP shall be adjusted for share splits, extraordinary dividends, reorganizations, recapitalizations or similar events. "VWAP" means, for any date, the price determined by the first of the following clauses that applies: (a) if the shares are then listed or quoted on a national securities exchange, the daily volume weighted average price of the shares for such date (or the nearest preceding date) on the national securities exchange on which the shares are then listed or quoted as reported by Bloomberg L.P. (based on a trading day from 9:30 a.m. (New York City time) to 4:00 p.m. (New York City time)), (b) if the shares are not then listed or quoted for trading on any national securities exchange and if prices for the shares are then reported on the OTC Bulletin Board or in the "Pink Sheets" published by OTC Markets Group, Inc. (or a similar organization or agency succeeding to its functions of reporting prices), the most recent bid price per share of the shares so reported, or (c) in all other cases, the fair market value of the shares as determined in good faith by the committee. /s/ Nicholas J. Tomashot 2021-11-05