SEC FORM
4
SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
65 EAST 55TH STREET |
35TH FLOOR |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Sphere 3D Corp
[ ANY ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 11/13/2018
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Series A Preferred Shares |
11/13/2018 |
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P
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6,500,000 |
A |
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6,500,000 |
I |
See Footnotes
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Put Option (right to sell) |
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11/13/2018 |
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P
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2,500,000 |
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11/13/2018 |
11/13/2020 |
Series A Preferred Shares |
2,500,000 |
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2,500,000 |
I |
See Footnotes
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Call Option (obligation to sell) |
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11/13/2018 |
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S
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2,500,000 |
11/13/2018 |
11/13/2019 |
Series A Preferred Shares |
2,500,000 |
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2,500,000 |
I |
See Footnotes
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1. Name and Address of Reporting Person*
65 EAST 55TH STREET |
35TH FLOOR |
(Street)
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1. Name and Address of Reporting Person*
C/O CYRUS CAPITAL PARTNERS, L.P. |
65 EAST 55TH STREET, 35TH FLOOR |
(Street)
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1. Name and Address of Reporting Person*
C/O CYRUS CAPITAL PARTNERS, L.P. |
65 EAST 55TH STREET, 35TH FLOOR |
(Street)
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1. Name and Address of Reporting Person*
C/O CYRUS CAPITAL PARTNERS, L.P. |
65 EAST 55TH STREET, 35TH FLOOR |
(Street)
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Explanation of Responses: |
Remarks: |
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CYRUS CAPITAL PARTNERS, L.P., By: Cyrus Capital Partners GP, L.L.C., its general partner, Name: /s/ Stephen C. Freidheim, Title: Sole Member/Manager |
11/15/2018 |
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CYRUS CAPITAL PARTNERS GP, L.L.C., Name: /s/ Stephen C. Freidheim, Title: Sole Member/Manager |
11/15/2018 |
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/s/ Stephen C. Freidheim |
11/15/2018 |
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FBC HOLDINGS S.A R.L., By: Cyrus Capital Partners, L.P., the investment manager of FBC Holdings S.a r.l.'s shareholders, By: Cyrus Capital Partners GP, L.L.C., its general partner, Name: /s/ Stephen C. Freidheim, Title: Sole Member/Manager |
11/15/2018 |
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** 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
4
(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. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
Exhibit 99.1
Form 4 Joint Filer Information
Name: Cyrus Capital Partners GP, L.L.C.
Address: c/o Cyrus Capital Partners, L.P.
65 East 55th Street, 35th Floor
New York, NY 10022
Date of Event Requiring Statement: 11/13/18
Name: Stephen C. Freidheim
Address: c/o Cyrus Capital Partners, L.P.
65 East 55th Street, 35th Floor
New York, NY 10022
Date of Event Requiring Statement: 11/13/18
Name: FBC Holdings S.a r.l.
Address: c/o Cyrus Capital Partners, L.P.
65 East 55th Street, 35th Floor
New York, NY 10022
Date of Event Requiring Statement: 11/13/18