0001104659-20-128521.txt : 20201123 0001104659-20-128521.hdr.sgml : 20201123 20201123171039 ACCESSION NUMBER: 0001104659-20-128521 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201120 FILED AS OF DATE: 20201123 DATE AS OF CHANGE: 20201123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Avista Healthcare Partners GP, Ltd. CENTRAL INDEX KEY: 0001799895 STATE OF INCORPORATION: D0 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38709 FILM NUMBER: 201338847 BUSINESS ADDRESS: STREET 1: 65 EAST 55TH STREET, 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 212-593-6900 MAIL ADDRESS: STREET 1: 65 EAST 55TH STREET, 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Avista Capital Partners III GP, L.P. CENTRAL INDEX KEY: 0001705722 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38709 FILM NUMBER: 201338848 BUSINESS ADDRESS: STREET 1: C/O AVISTA CAPITAL PARTNERS, 65 EAST 55T CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2125936900 MAIL ADDRESS: STREET 1: C/O AVISTA CAPITAL PARTNERS, 65 EAST 55T CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Orbit Co-Invest III LLC CENTRAL INDEX KEY: 0001751056 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38709 FILM NUMBER: 201338849 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Avista Healthcare Partners, L.P. CENTRAL INDEX KEY: 0001794239 STATE OF INCORPORATION: D0 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38709 FILM NUMBER: 201338850 BUSINESS ADDRESS: STREET 1: 65 E. 55TH STREET, 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 212-593-6900 MAIL ADDRESS: STREET 1: 65 E. 55TH STREET, 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Osmotica Pharmaceuticals plc CENTRAL INDEX KEY: 0001739426 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 BUSINESS ADDRESS: STREET 1: 400 CROSSING BOULEVARD CITY: BRIDGEWATER STATE: NJ ZIP: 08807 BUSINESS PHONE: 9088091300 MAIL ADDRESS: STREET 1: 400 CROSSING BOULEVARD CITY: BRIDGEWATER STATE: NJ ZIP: 08807 FORMER COMPANY: FORMER CONFORMED NAME: Osmotica Pharmaceuticals Ltd DATE OF NAME CHANGE: 20180502 4 1 a4.xml 4 X0306 4 2020-11-20 0 0001739426 Osmotica Pharmaceuticals plc OSMT 0001705722 Avista Capital Partners III GP, L.P. C/O AVISTA CAPITAL PARTNERS III, 65 EAST 55TH STREET, 18TH FLOOR NEW YORK NY 10022 0 0 1 0 0001799895 Avista Healthcare Partners GP, Ltd. C/O AVISTA CAPITAL PARTNERS III, 65 EAST 55TH STREET, 18TH FLOOR NEW YORK NY 10022 0 0 1 0 0001794239 Avista Healthcare Partners, L.P. C/O AVISTA CAPITAL PARTNERS III, 65 EAST 55TH STREET, 18TH FLOOR NEW YORK NY 10022 0 0 1 0 0001751056 Orbit Co-Invest III LLC C/O AVISTA CAPITAL PARTNERS III, 65 EAST 55TH STREET, 18TH FLOOR NEW YORK NY 10022 0 0 1 0 Ordinary Shares 2020-11-20 4 J 0 4936926 D 0 I By Avista Capital investment fund Ordinary Shares 15730864 I By Avista Capital investment fund Ordinary Shares 1032995 I By Avista Capital investment fund Represents shares of the Issuer held by Orbit Co-Invest I LLC. Effective November 20, 2020, Avista Capital Partners III GP, L.P. ("ACP GP") ceased to be the manager of Orbit Co-Invest I LLC and, as a result, ceased to have voting or investment power with respect to the shares held by Orbit Co-Invest I LLC. Represents shares of the Issuer held by Avista Healthcare Partners, L.P. ("AHP"). Avista Healthcare Partners GP, Ltd. ("AHP GP") is the general partner of AHP. As a result, AHP GP may be deemed to share voting and investment power with respect to the shares held by AHP. Each of AHP and AHP GP disclaims beneficial ownership of such shares, except to the extent of its 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 purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise. Represents shares of the Issuer held by Orbit Co-Invest III LLC. ACP GP is the manager of Orbit Co-Invest III LLC. As a result, ACP GP may be deemed to share voting and investment power with respect to the shares held by Orbit Co-Invest III LLC. Each of Orbit Co-Invest III LLC and ACP GP disclaims beneficial ownership of such shares, except to the extent of its 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 purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise. Avista Capital Partners III GP, L.P. By: /s/ Ben Silbert, Chief Administrative Officer and General Counsel 2020-11-23 Avista Healthcare Partners GP, Ltd. By: /s/ Ben Silbert, Chief Administrative Officer and General Counsel 2020-11-23 Avista Healthcare Partners, L.P., by Avista Healthcare Partners GP, Ltd., its general partner By: /s/ Ben Silbert, Chief Administrative Officer and General Counsel 2020-11-23 Orbit Co-Invest III LLC, by Avista Capital Partners III GP, L.P., its manager By: /s/ Ben Silbert, Chief Administrative Officer and General Counsel 2020-11-23