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