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The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
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1
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NAMES OF REPORTING PERSONS
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David Baazov |
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (see instructions)
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(a) ☐ (b) ☐ |
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (see instructions)
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PF, OO
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(D) OR 2(E) ☐
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Canada
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
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17,605,839
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8
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SHARED VOTING POWER
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9
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SOLE DISPOSITIVE POWER
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17,605,839
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10
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SHARED DISPOSITIVE POWER
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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17,605,839
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (see instructions)
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☐ |
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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12.1% (1)
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14
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TYPE OF REPORTING PERSON (see instructions)
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IN
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(1)
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Based on 144,995,677 common shares issued and outstanding, as reported by Amaya Inc. in its Management’s Discussion and Analysis for the three and nine months ended September 30, 2016, as furnished to the SEC on November 14, 2016 as Exhibit 99.3 to its Form 6-K.
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Item 1. |
Security and Issuer
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Item 2. |
Identity and Background
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Item 3. |
Source and Amount of Funds or Other Consideration
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Item 4. |
Purpose of Transaction
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Item 5. |
Interest in Securities of the Issuer
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Name and Title of Beneficial Owner
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Number of Outstanding
Common Shares Beneficially Owned |
Percentage of
Outstanding Common Shares(1) |
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David Baazov
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17,605,839
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12.1%
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(1)
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Based on 144,995,677 Common Shares issued and outstanding, as reported by Amaya in its Management’s Discussion and Analysis for the three and nine months ended September 30, 2016, as furnished to the SEC on November 14, 2016 as Exhibit 99.3 to Amaya’s Form 6-K.
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Item 6. |
Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer
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Item 7. |
Materials to be Filed as Exhibits
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Exhibit
Number
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Exhibit Name
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99.1
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News Release
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Dated: March 7, 2017
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By:
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/s/ David Baazov | |
David Baazov
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