0001104659-18-062195.txt : 20181015
0001104659-18-062195.hdr.sgml : 20181015
20181015205630
ACCESSION NUMBER: 0001104659-18-062195
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180817
FILED AS OF DATE: 20181015
DATE AS OF CHANGE: 20181015
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MARKISON BRIAN A
CENTRAL INDEX KEY: 0001283061
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37906
FILM NUMBER: 181123424
MAIL ADDRESS:
STREET 1: 501 FIFTH STREET
CITY: BRISTOL
STATE: TN
ZIP: 37620
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Avista Healthcare Public Acquisition Corp.
CENTRAL INDEX KEY: 0001661181
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: NY
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 65 EAST 55TH STREET
STREET 2: 18TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212 593-6900
MAIL ADDRESS:
STREET 1: 65 EAST 55TH STREET
STREET 2: 18TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
4
1
a4.xml
4
X0306
4
2018-08-17
0
0001661181
Avista Healthcare Public Acquisition Corp.
AHPA
0001283061
MARKISON BRIAN A
C/O AVISTA HEALTHCARE PUBLIC ACQUIS CORP
65 EAST 55TH STREET, 18TH FLOOR
NEW YORK
NY
10022
1
0
0
0
Class B Ordinary Shares
2018-08-17
4
D
0
193750
D
Class A Ordinary Shares
193750
581250
D
Pursuant to the Amended and Restated Memorandum and Articles of Association (the "Articles") of the Issuer, the Class B ordinary shares, par value $0.0001 per share (the "Class B Shares") will automatically convert into Class A ordinary shares, par value $0.0001 per share, of the Issuer at the time of the Issuer's Business Combination, as defined in the Articles, on a one-for-one basis, subject to adjustment, and have no expiration date.
193,750 Class B ordinary shares were forfeited to the Issuer for no consideration.
By: /s/ Benjamin Silbert, Attorney-in-Fact
2018-10-15