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