0001140361-14-040560.txt : 20141106
0001140361-14-040560.hdr.sgml : 20141106
20141106174108
ACCESSION NUMBER: 0001140361-14-040560
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141106
FILED AS OF DATE: 20141106
DATE AS OF CHANGE: 20141106
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: INC Research Holdings, Inc.
CENTRAL INDEX KEY: 0001610950
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731]
IRS NUMBER: 273403111
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3201 BEECHLEAF COURT
STREET 2: SUITE 600
CITY: RALEIGH
STATE: NC
ZIP: 27604
BUSINESS PHONE: 919-876-9300
MAIL ADDRESS:
STREET 1: 3201 BEECHLEAF COURT
STREET 2: SUITE 600
CITY: RALEIGH
STATE: NC
ZIP: 27604
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burgstahler David F
CENTRAL INDEX KEY: 0001374179
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36730
FILM NUMBER: 141201998
MAIL ADDRESS:
STREET 1: C/O WARNER CHILCOTT HOLDINGS CO., LTD.
STREET 2: 100 ENTERPRISE DRIVE
CITY: ROCKAWAY
STATE: NJ
ZIP: 07866
3
1
doc1.xml
FORM 3
X0206
3
2014-11-06
0
0001610950
INC Research Holdings, Inc.
INCR
0001374179
Burgstahler David F
C/O INC RESEARCH HOLDINGS, INC.
3201 BEECHLEAF COURT, SUITE 600
RALEIGH
NC
27604
1
0
1
0
Class A Common Stock, par value $0.01 per share
25988047
I
Avista Funds
The amount shown represents the beneficial ownership over the securities held by Avista Capital Partners II, L.P., Avista Capital Partners (Offshore) II, L.P., Avista Capital Partners (Offshore) II-A, L.P., ACP INC Research Co-Invest, LLC (collectively, the Avista Funds) and INC Research Mezzanine Co-Invest, LLC. Avista Capital Partners II GP, LLC ultimately exercises voting and dispositive power over the securities held by the Avista Funds and INC Research Mezzanine Co-Invest LLC. The reporting person is a member of Avista Capital Partners II GP, LLC and INC Research Mezzanine Co-Invest LLC and is an investor in the Avista Funds. The actual pro rata portion of beneficial ownership of any shares that may be deemed attributable to the reporting person is not readily determinable because it is subject to several variables, including the rate internal rate of return and vesting of interests within the Avista Funds.
The reporting person disclaims beneficial ownership of all of the listed securities to the extent it exceeds his pecuniary interest therein, and the inclusion of the shares in this report shall not be deemed to be an admission of beneficial ownership of the reported shares for the purposes of Section 16 of the Exchange Act or otherwise.
/s/ David F. Burgstahler
2014-11-06