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