Amended Statement of Beneficial Ownership (3/a)
18 September 2020 - 10:49PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
*
Searchlight Capital Partners II GP, LLC |
2. Date of Event Requiring Statement (MM/DD/YYYY)
6/4/2020
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3. Issuer Name and Ticker or Trading Symbol
Shift4 Payments, Inc. [FOUR]
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(Last)
(First)
(Middle)
745 FIFTH AVENUE, 27TH FLOOR |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
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(Street)
NEW YORK, NY 10151
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
6/5/2020
| 6. Individual or Joint/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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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) |
| Class B Common Stock | 13375973 (1) | I | See footnote (2)(3) |
| Class C Common Stock | 15513817 (1) | I | See footnote (3)(4) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4) | 2. Date Exercisable and Expiration Date
(MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: 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 |
| LLC Interests | (5) | (5) | Class A Common Stock | 13375973 (1) | (5) | I | See footnote (3)(6) |
| Explanation of Responses: |
| (1) | These securities were underreported on the Reporting Persons' original Form 3. |
| (2) | Represents securities held of record by Searchlight Capital II, L.P. |
| (3) | Searchlight Capital Partners II GP, LP, as the general partner of Searchlight Capital II PV, L.P, Searchlight Capital II, L.P. and Searchlight II GWN, L.P.(the "Record Holders"), may be deemed to share beneficial ownership over the securities held by the Record Holders. Searchlight Capital Partners II GP, LLC, as the general partner of Searchlight Capital Partners II GP, LP, may be deemed to share beneficial ownership over the securities held by the Record Holders. |
| (4) | Represents 1,257,894 securities held of record by Searchlight Capital II, L.P. and 14,255,923 securities held of record by Searchlight Capital II PV, L.P. |
| (5) | The LLC Interests may be redeemed by the Reporting Person at any time on or following the closing of the Initial Public Offering for shares of Class A Common Stock on a 1-to-1 basis. |
| (6) | Represents securities held directly by Searchlight II GWN, L.P. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Searchlight Capital Partners II GP, LLC
745 FIFTH AVENUE, 27TH FLOOR
NEW YORK, NY 10151 |
| X |
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Searchlight Capital Partners II GP, L.P.
745 FIFTH AVENUE, 27TH FLOOR
NEW YORK, NY 10151 |
| X |
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Searchlight Capital II PV, L.P.
745 FIFTH AVENUE, 27TH FLOOR
NEW YORK, NY 10151 |
| X |
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Searchlight Capital II, L.P.
745 FIFTH AVENUE, 27TH FLOOR
NEW YORK, NY 10151 |
| X |
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Searchlight II GWN, L.P.
745 FIFTH AVENUE, 27TH FLOOR
NEW YORK, NY 10151 |
| X |
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Signatures
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| Searchlight Capital Partners II GP, LLC, By: /s/ Andrew Frey, authorized person | | 9/18/2020 |
| **Signature of Reporting Person | Date |
| Searchlight Capital Partners II GP, LP, By: Searchlight Capital Partners II GP, LLC , its general partner, By: /s/ Andrew Frey, authorized person | | 9/18/2020 |
| **Signature of Reporting Person | Date |
| Searchlight Capital II PV, L.P., By: Searchlight Capital Partners II GP, LP, its general partner, By: Searchlight Capital Partners II GP LLC, its general partner, By: /s/ Andrew Frey, authorized person | | 9/18/2020 |
| **Signature of Reporting Person | Date |
| Searchlight Capital II, L.P., By: Searchlight Capital Partners II GP, LP, its general partner, By: Searchlight Capital Partners II GP, LLC, its general partner, By: /s/ Andrew Frey, authorized person | | 9/18/2020 |
| **Signature of Reporting Person | Date |
| Searchlight II GWN, L.P., By: Searchlight Capital Partners II GP, LP, its general partner, By: Searchlight Capital Partners II GP, LLC, its general partner, By: /s/ Andrew Frey, authorized person | | 9/18/2020 |
| **Signature of Reporting Person | Date |
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