0001465818-18-000020.txt : 20180306 0001465818-18-000020.hdr.sgml : 20180306 20180306093144 ACCESSION NUMBER: 0001465818-18-000020 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180306 DATE AS OF CHANGE: 20180306 EFFECTIVENESS DATE: 20180306 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ConvergeOne Holdings, Inc. CENTRAL INDEX KEY: 0001697152 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 814619427 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-306984 FILM NUMBER: 18668833 BUSINESS ADDRESS: STREET 1: 3344 HIGHWAY 149 CITY: EAGAN STATE: MN ZIP: 55121 BUSINESS PHONE: 651-393-3632 MAIL ADDRESS: STREET 1: 3344 HIGHWAY 149 CITY: EAGAN STATE: MN ZIP: 55121 FORMER COMPANY: FORMER CONFORMED NAME: Forum Merger Corp DATE OF NAME CHANGE: 20170203 D 1 primary_doc.xml X0708 D LIVE 0001697152 ConvergeOne Holdings, Inc. 3344 Highway 149 Eagan MN MINNESOTA 55121 (888) 321-6227 DELAWARE Forum Merger Corp Corporation true 2016 Stephen A. Vogel c/o Forum Investors I, LLC 135 East 57th Street, 8th Floor New York NY NEW YORK 10022 Promoter Mr. Vogel is a former Director. He was a Director of Forum Merger Corp at the time of the offering. Marshall Kiev c/o Forum Investors I, LLC 135 East 57th Street, 8th Floor New York NY NEW YORK 10022 Promoter Mr. Kiev is a former Director. He was Co-Chief Executive Officer and President of Forum Merger Corp at the time of the offering. David Boris c/o Forum Investors I, LLC 135 East 57th Street, 8th Floor New York NY NEW YORK 10022 Director Promoter Mr. Boris is a Director of ConvergeOne Holdings, Inc. He was Co-Chief Executive Officer, CFO, VP and Director of Forum Merger Corp at the time of the offering. Jerry Elliot c/o Forum Investors I, LLC 135 East 57th Street, 8th Floor New York NY NEW YORK 10022 Promoter Mr. Elliot is a former Director. He was a Director of Forum Merger Corp at the time of the offering. Neil Goldberg c/o Forum Investors I, LLC 135 East 57th Street, 8th Floor New York NY NEW YORK 10022 Promoter Mr. Goldberg is a former Director. He was a Director of Forum Merger Corp at the time of the offering. Richard Katzman c/o Forum Investors I, LLC 135 East 57th Street, 8th Floor New York NY NEW YORK 10022 Director Promoter Mr. Katzman is a Director of ConvergeOne Holdings, Inc. He was a Director of Forum Merger Corp at the time of the offering. Steven Berns c/o Forum Investors I, LLC 135 East 57th Street, 8th Floor New York NY NEW YORK 10022 Promoter Mr. Berns is a former Director. He was a Director of Forum Merger Corp at the time of the offering. John A. McKenna, Jr. 3344 Highway 149 Eagan MN MINNESOTA 55121 Executive Officer Director Jeffrey Nachbor 3344 Highway 149 Eagan MN MINNESOTA 55121 Executive Officer Paul Maier 3344 Highway 149 Eagan MN MINNESOTA 55121 Executive Officer John F. Lyons 3344 Highway 149 Eagan MN MINNESOTA 55121 Executive Officer Keith W. F. Bradley 3344 Highway 149 Eagan MN MINNESOTA 55121 Director Behdad Eghbali 3344 Highway 149 Eagan MN MINNESOTA 55121 Director Jos? E. Feliciano 3344 Highway 149 Eagan MN MINNESOTA 55121 Director Christopher Jurasek 3344 Highway 149 Eagan MN MINNESOTA 55121 Director Prashant Mehrotra 3344 Highway 149 Eagan MN MINNESOTA 55121 Director James Pade 3344 Highway 149 Eagan MN MINNESOTA 55121 Director Timothy J. Pawlenty 3344 Highway 149 Eagan MN MINNESOTA 55121 Director Other Over $100,000,000 06b false 2018-02-22 false true true See Form 8-K filed on December 1, 2017 and February 26, 2018. 0 Evercore Group L.L.C. None None None 55 E 52nd St, 36th FL New York NY NEW YORK 10055 CA CALIFORNIA CO COLORADO DE DELAWARE FL FLORIDA IL ILLINOIS NY NEW YORK PA PENNSYLVANIA false Cowen & Company, LLC None None None 599 Lexington Ave New York NY NEW YORK 10022 CA CALIFORNIA CO COLORADO DE DELAWARE FL FLORIDA IL ILLINOIS NY NEW YORK PA PENNSYLVANIA false EarlyBirdCapital, Inc. None None None 366 Madison Ave, 8th FL New York NY NEW YORK 10017 CA CALIFORNIA CO COLORADO DE DELAWARE FL FLORIDA IL ILLINOIS NY NEW YORK PA PENNSYLVANIA false 143675000 131675000 12000000 false 54 2200000 0 0 false ConvergeOne Holdings, Inc. /s/ Jeff Nachbor Jeff Nachbor Chief Financial Officer 2018-03-05