0001493152-23-021897.txt : 20230620
0001493152-23-021897.hdr.sgml : 20230620
20230620171325
ACCESSION NUMBER: 0001493152-23-021897
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 4
CONFORMED PERIOD OF REPORT: 20230609
FILED AS OF DATE: 20230620
DATE AS OF CHANGE: 20230620
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Serow Erika
CENTRAL INDEX KEY: 0001734717
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38424
FILM NUMBER: 231026275
BUSINESS ADDRESS:
BUSINESS PHONE: (801) 756-2600
MAIL ADDRESS:
STREET 1: 4100 N. CHAPEL RIDGE ROAD
STREET 2: SUITE 200
CITY: LEHI
STATE: UT
ZIP: 84043
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: 4042 PARK OAKS BLVD
STREET 2: SUITE 350
CITY: TAMPA
STATE: FL
ZIP: 33610
BUSINESS PHONE: 813-246-4999
MAIL ADDRESS:
STREET 1: 4042 PARK OAKS BLVD
STREET 2: SUITE 350
CITY: TAMPA
STATE: FL
ZIP: 33610
FORMER COMPANY:
FORMER CONFORMED NAME: Andina II Holdco Corp.
DATE OF NAME CHANGE: 20171103
4
1
ownership.xml
X0407
4
2023-06-09
0
0001721741
Lazydays Holdings, Inc.
LAZY
0001734717
Serow Erika
C/O LAZYDAYS HOLDINGS, INC.,
4042 PARK OAKS BLVD, SUITE 350
TAMPA
FL
33610
1
0
0
0
0
Common Stock
2023-06-09
4
M
0
3289
A
3289
D
Common Stock
2023-06-15
4
A
0
8654
A
11943
D
Restricted Stock Units
2023-06-09
4
M
0
3289
0
D
Common Stock
3289
0
D
Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock.
The restricted stock units were approved by the Compensation Committee on April 20, 2022 and vested on June 9, 2023.
Grant of restricted stock units approved by the Compensation Committee on June 15, 2023.
Total includes 8,654 restricted stock units that will vest on June 15, 2024.
Exhibit 24 - Limited Power of Attorney
Minola Hunt, Attorney-in-Fact for Erika Serow.
2023-06-20
EX-24
2
ex-24.htm
Exhibit 24
GRAPHIC
3
ex-24_001.jpg
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