0001592379-19-000033.txt : 20190528
0001592379-19-000033.hdr.sgml : 20190528
20190528173721
ACCESSION NUMBER: 0001592379-19-000033
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190523
FILED AS OF DATE: 20190528
DATE AS OF CHANGE: 20190528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mounts L David
CENTRAL INDEX KEY: 0001341690
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36432
FILM NUMBER: 19858849
MAIL ADDRESS:
STREET 1: 3910 WHITE HAWK LN
CITY: WINSTON-SALEM
STATE: NC
ZIP: 27106
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Papa Murphy's Holdings, Inc.
CENTRAL INDEX KEY: 0001592379
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
IRS NUMBER: 272349094
FISCAL YEAR END: 0102
BUSINESS ADDRESS:
STREET 1: 8000 NE PARKWAY DRIVE
STREET 2: SUITE 350
CITY: VANCOUVER
STATE: WA
ZIP: 98662
BUSINESS PHONE: 360 260-7272
MAIL ADDRESS:
STREET 1: 8000 NE PARKWAY DRIVE
STREET 2: SUITE 350
CITY: VANCOUVER
STATE: WA
ZIP: 98662
4
1
wf-form4_155907942547849.xml
FORM 4
X0306
4
2019-05-23
1
0001592379
Papa Murphy's Holdings, Inc.
FRSH
0001341690
Mounts L David
C/O PAPA MURPHY'S HOLDINGS, INC.
8000 NE PARKWAY DRIVE, SUITE 350
VANCOUVER
WA
98662
1
0
0
0
Common Stock, par value $0.01 per share
2019-05-23
4
U
0
13944
6.45
D
0
D
Common Stock, par value $0.01 per share
2019-05-23
4
U
0
6000
6.45
D
0
I
By children
Common Stock, par value $0.01 per share
2019-05-23
4
U
0
213961
6.45
D
0
I
By Trust
Pursuant to the terms of the Agreement and Plan of Merger, dated April 10, 2019, by and among the Issuer, MTY Franchising USA, Inc. and MTY Columbia Merger Sub, Inc, on April 25, 2019, MTY Columbia Merger Sub, Inc. made an offer (the "Offer") to purchase each outstanding share of the Issuer's common stock for $6.45 per share, in cash, without interest and subject to applicable withholding. The shares shown on this line were tendered in the Offer.
/s/ Daniel R. Smith attorney-in-fact
2019-05-28