0000899243-21-048640.txt : 20211216 0000899243-21-048640.hdr.sgml : 20211216 20211216193949 ACCESSION NUMBER: 0000899243-21-048640 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211214 FILED AS OF DATE: 20211216 DATE AS OF CHANGE: 20211216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jackson Yusef CENTRAL INDEX KEY: 0001818691 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39422 FILM NUMBER: 211499190 MAIL ADDRESS: STREET 1: C/O YUCAIPA ACQUISITION CORPORATION STREET 2: 9130 WEST SUNSET BOULEVARD CITY: LOS ANGELES STATE: CA ZIP: 90069 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Yucaipa Acquisition Corp CENTRAL INDEX KEY: 0001815302 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 000000000 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9130 WEST SUNSET BOULEVARD CITY: LOS ANGELES STATE: CA ZIP: 90069 BUSINESS PHONE: 310-228-2894 MAIL ADDRESS: STREET 1: 9130 WEST SUNSET BOULEVARD CITY: LOS ANGELES STATE: CA ZIP: 90069 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-14 1 0001815302 Yucaipa Acquisition Corp YAC 0001818691 Jackson Yusef C/O YUCAIPA ACQUISITION CORPORATION 9130 WEST SUNSET BOULEVARD LOS ANGELES CA 90069 1 0 0 0 Class B ordinary shares 2021-12-14 4 D 0 30000 D Class A ordinary shares 30000 0 D In connection with the business combination consummated by Yucaipa Acquisition Corporation (the "Issuer") with SIGNA Sports United N.V. (f/k/a SIGNA Sports United B.V.) ("SSU") on December 14, 2021, pursuant to a Business Combination Agreement dated June 10, 2021, the Class B Ordinary Shares, par value $0.0001 per share, of the Issuer held by the Reporting Person were exchanged for Ordinary Shares, nominal value 0.12 per share, of SSU, as described under the headings "The Business Combination" and "The Business Combination Agreement and Ancillary Documents" in the registration statement filed by SSU on Form F-4 (File No. 333-257685). Upon consummation of the Business Combination the Reporting Person is no longer subject to the reporting requirements of Section 16 with respect to the Issuer's securities. /s/ Robert P. Bermingham, as Attorney-in-fact 2021-12-16