0001493152-18-016688.txt : 20181123 0001493152-18-016688.hdr.sgml : 20181123 20181123170215 ACCESSION NUMBER: 0001493152-18-016688 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181120 FILED AS OF DATE: 20181123 DATE AS OF CHANGE: 20181123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fredlake James J. CENTRAL INDEX KEY: 0001734721 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38424 FILM NUMBER: 181199774 BUSINESS ADDRESS: BUSINESS PHONE: 8132464999 MAIL ADDRESS: STREET 1: 6130 LAZY DAYS BOULEVARD CITY: SEFFNER STATE: FL ZIP: 33584 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lazydays Holdings, Inc. CENTRAL INDEX KEY: 0001721741 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 250 W 57TH STREET STREET 2: SUITE 2223 CITY: NEW YORK STATE: NY ZIP: 10107 BUSINESS PHONE: 646-565-3861 MAIL ADDRESS: STREET 1: 250 W 57TH STREET STREET 2: SUITE 2223 CITY: NEW YORK STATE: NY ZIP: 10107 FORMER COMPANY: FORMER CONFORMED NAME: Andina II Holdco Corp. DATE OF NAME CHANGE: 20171103 4 1 ownership.xml X0306 4 2018-11-20 0 0001721741 Lazydays Holdings, Inc. LAZY 0001734721 Fredlake James J. C/O LAZYDAYS HOLDINGS, INC. 6130 LAZY DAYS BOULEVARD SEFFNER FL 33584 1 0 0 0 Common Stock 2018-11-20 4 P 0 3349 5.0461 A 12544 I See footnote Common Stock 5329 D Represents the weighted average purchase price of the shares purchased ranging from a low of $4.95 to a high of $5.10 per share. The undersigned undertakes, upon request by the Commission staff, the issuer or a security holder of the issuer, to provide full information regarding the number of shares purchased at each separate price. Represents shares held by the James J. Fredlake Revocable Trust of 2017, of which the reporting person is the trustee and a beneficiary. /s/ James J. Fredlake 2018-11-23