10-12B/A 1 d528710d1012ba.htm 10-12B/A 10-12B/A

As filed with the Securities and Exchange Commission on March 12, 2018.

  

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

Amendment No. 2 to

FORM 10

 

 

GENERAL FORM FOR REGISTRATION OF SECURITIES

PURSUANT TO SECTION 12(b) OR 12(g) OF

THE SECURITIES EXCHANGE ACT OF 1934

 

 

Red Violet, Inc.

(Exact Name of Registrant as Specified in Its Charter)

 

 

 

Delaware   82-2408531
(State or Other Jurisdiction of
Incorporation or Organization)
  (I.R.S. Employer
Identification No.)

2650 North Military Trail, Suite 300

Boca Raton, Florida 33431

(Address of Principal Executive Offices) (Zip Code)

(561) 757-4000

(Registrant’s telephone number, including area code)

 

 

Securities to be registered pursuant to Section 12(b) of the Act:

 

Title of each class

to be so registered

  

Name of each exchange on which

each class is to be registered

Common Stock, par value $0.001 per share    The NASDAQ Stock Market LLC

Securities to be registered pursuant to Section 12(g) of the Act:

None.

 

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” or “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer       Accelerated filer  
Non-accelerated filer     (Do not check if a smaller reporting company)   Smaller reporting company  
      Emerging growth company  

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☐

 

 

 


INFORMATION REQUIRED IN REGISTRATION STATEMENT

CROSS-REFERENCE SHEET BETWEEN INFORMATION STATEMENT AND

ITEMS OF FORM 10

Our information statement is filed as Exhibit 99.1 and is incorporated by reference into this Form 10. For your convenience, we provide below a cross-reference sheet identifying where the items required by Form 10 can be found in the information statement.

 

Item No.

 

Caption

  

Location in Information Statement

Item 1.

  Business    See “Summary,” “Risk Factors,” “The Spin-off,” “Capitalization,” “Business,” “Properties,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” “Forward-Looking Statements,” “Legal Proceedings,” “Management,” “Committees of the Board of Directors,” “Certain Relationships and Related Party Transactions,” “Where You Can Find More Information,” “Index to Consolidated and Combined Financial Statements” and the statements referenced therein, “Index To Unaudited Condensed Consolidated and Combined Financial Statements” and the statements referenced therein, and “Unaudited Consolidated and Combined Pro Forma Financial Statements”

Item 1A.

  Risk Factors    See “Risk Factors,” “Forward-Looking Statements,” “Index to Consolidated and Combined Financial Statements” and the statements referenced therein, “Index To Unaudited Condensed Consolidated and Combined Financial Statements” and the statements referenced therein, and “Unaudited Consolidated and Combined Pro Forma Financial Statements”

Item 2.

  Financial Information    See “Summary,” “Summary Historical and Pro Forma Financial Data” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations”

Item 3.

  Properties    See “Properties”

Item 4.

  Security Ownership of Certain Beneficial Owners and Management    See “Beneficial Ownership of Securities”

Item 5.

  Directors and Executive Officers    See “Management” and “Committees of the Board of Directors”

Item 6.

  Executive Compensation    See “Management,” “Executive Compensation,” “Director Compensation” and “Certain Relationships and Related Party Transactions”

Item 7.

  Certain Relationships and Related Transactions, and Director Independence    See “Risk Factors,” “Management,” “Committees of the Board of Directors,” and “Certain Relationships and Related Party Transactions”

Item 8.

  Legal Proceedings    See “Legal Proceedings”

Item 9.

  Market Price of and Dividends on the Registrant’s Common Equity and Related Stockholder Matters    See “Summary,” “Terms of the Spin-off,” “Questions and Answers About the Spin-off,” “Risk Factors,” “The Spin-off,” “Capitalization,” “Beneficial Ownership of Securities” and “Description of Capital Stock”

Item 10.

  Recent Sales of Unregistered Securities    None


Item No.

 

Caption

  

Location in Information Statement

Item 11.

  Description of Registrant’s Securities to be Registered    See “Summary,” “Terms of the Spin-off,” “Questions and Answers About the Spin-off,” “The Spin-off,” and “Description of Capital Stock”

Item 12.

  Indemnification of Directors and Officers    See “Management” and “Liability and Indemnification of Directors And Officers”

Item 13.

  Financial Statements and Supplementary Data    See “Summary,” “Summary Historical and Pro Forma Financial Data,” “Index to Consolidated and Combined Financial Statements” and the statements referenced therein, “Index To Unaudited Condensed Consolidated and Combined Financial Statements” and the statements referenced therein, and “Unaudited Consolidated and Combined Pro Forma Financial Statements”

Item 14.

  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure    Not Applicable

Item 15.

  Financial Statements and Exhibits    See “Index to Consolidated and Combined Financial Statements” and the statements referenced therein, “Index To Unaudited Condensed Consolidated and Combined Financial Statements” and the statements referenced therein, and “Unaudited Consolidated and Combined Pro Forma Financial Statements”

 

(a) List of Financial Statements and Schedules

The following financial statements are included in the Information Statement and filed as part of this Registration Statement on Form 10:

Consolidated and Combined Financial Statements, Including Report of Independent Registered Public Accounting Firm

Unaudited Consolidated and Combined Pro Forma Financial Statements

 

(b) Exhibits

The following documents are filed as exhibits hereto unless otherwise indicated:

 

Exhibit
Number

  

Description of Exhibit

    2.1    Separation and Distribution Agreement by and between Cogint, Inc. and Red Violet, Inc., dated February 27, 2018.†
    3.1    Certificate of Incorporation of Red Violet, Inc.†
    3.2    Form of Amended and Restated Certificate of Incorporation of Red Violet, Inc.†
    3.3    Bylaws of Red Violet, Inc.†

 

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Exhibit
Number

  

Description of Exhibit

    3.4    Form of Amended and Restated Bylaws of Red Violet, Inc.†
  10.1    Form of Red Violet, Inc. 2018 Stock Incentive Plan.*†
  10.2    Form of Restricted Stock Unit Agreement Pursuant to the Red Violet 2018 Stock Incentive Plan.*†
  10.3    Amended and Restated Tax Matters Agreement by and between Cogint, Inc. and Red Violet, Inc., dated February 27, 2018.†
  10.4    Employee Matters Agreement by and between Cogint, Inc. and Red Violet, Inc., dated February 27, 2018.†
  10.5    Transition Services Agreement by and between Cogint, Inc. and Red Violet, Inc., dated February 27, 2018. †
  21    Subsidiaries of Red Violet, Inc.†
  99.1    Preliminary Information Statement of Red Violet, Inc. subject to completion, dated March 12, 2018.

 

* Management contract or compensatory plan or arrangement.
Previously filed.

 

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EXHIBIT INDEX

 

Exhibit
Number

  

Description of Exhibit

 

    
  99.1    Preliminary Information Statement of Red Violet, Inc. subject to completion, dated March 12, 2018.


SIGNATURES

Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized.

 

Red Violet, Inc.
By:  

/s/ Derek Dubner

  Name: Derek Dubner
  Title: Chief Executive Officer

Dated: March 12, 2018

 

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