SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
FOURSIXTHREE CAPITAL LP

(Last) (First) (Middle)
520 MADISON AVENUE
FLOOR 19

(Street)
NEW YORK NY 10022

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/24/2024
3. Issuer Name and Ticker or Trading Symbol
AKUMIN INC. [ AKUMQ ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 8,701,720 I See Footnote(1)(3)
Common Stock 1,855,131 I See Footnote(2)(3)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
FOURSIXTHREE CAPITAL LP

(Last) (First) (Middle)
520 MADISON AVENUE
FLOOR 19

(Street)
NEW YORK NY 10022

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
SixFourThree GP, LLC

(Last) (First) (Middle)
520 MADISON AVENUE
FLOOR 19

(Street)
NEW YORK NY 10022

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Kelly William Michael

(Last) (First) (Middle)
520 MADISON AVENUE
FLOOR 19

(Street)
NEW YORK NY 10022

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Balkan Richard Scott

(Last) (First) (Middle)
520 MADISON AVENUE
FLOOR 19

(Street)
NEW YORK NY 10022

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. These shares are held directly by FourSixThree Master Fund, LP ("Master Fund").
2. These shares are held directly by FourSixThree CAV Master, LP ("CAV Master" and, together with Master Fund, the "Funds").
3. SixFourThree GP, LLC ("SixFourThree GP") is the general partner of the Funds and FourSixThree Capital LP ("FourSixThree Capital") serves as investment adviser to the Funds. Mr. Kelly and Mr. Balkan serve as the voting members of FourSixThree Capital. By virtue of the foregoing relationships, each of SixFourThree GP, FourSixThree Capital, Mr. Kelly and Mr. Balkan (collectively, the "Reporting Persons") may be deemed to beneficially own the securities held by the Funds. Each Reporting Person disclaims beneficial ownership of the securities reported herein except to the extent of his or its pecuniary interest therein, if any, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
/s/ FourSixThree Capital LP, By: William M. Kelly, Chief Operating Officer 02/05/2024
/s/ SixFourThree GP, LLC, By: William M. Kelly, Partner & Managing Member 02/05/2024
/s/ William M. Kelly 02/05/2024
/s/ Richard S. Balkan 02/05/2024
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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