UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BAIN CAPITAL CREDIT MEMBER, LLC 200 CLARENDON STREET BOSTON, MA 02116 |
 |  X |  | See Footnote (5) |
Sankaty Champion Holdings, LLC C/O BAIN CAPITAL CREDIT, LP 200 CLARENDON STREET BOSTON, MA 02116 |
 |  X |  |  |
SANKATY CREDIT OPPORTUNITIES IV LP C/O BAIN CAPITAL CREDIT, LP 200 CLARENDON STREET BOSTON, MA 02116 |
 |  |  | See Footnote (5) |
Sankaty Credit Opportunities Investors IV, LLC C/O BAIN CAPITAL CREDIT, LP 200 CLARENDON STREET BOSTON, MA 02116 |
 |  |  | See Footnote (5) |
Sankaty Champion Holdings, LLC, by Bain Capital Credit Member, LLC, its manager, by /s/ Andrew S. Viens, Executive Vice President | 06/11/2018 | |
**Signature of Reporting Person | Date | |
Bain Capital Credit Member, LLC, by /s/ Andrew S. Viens, Executive Vice President | 06/11/2018 | |
**Signature of Reporting Person | Date | |
Sankaty Credit Opportunities IV, L.P., by Sankaty Credit Opportunities Investors IV, LLC, its general partner, by Bain Capital Credit Member, LLC, its managing member, by /s/ Andrew S. Viens, Executive Vice President | 06/11/2018 | |
**Signature of Reporting Person | Date | |
Sankaty Credit Opportunities Investors IV, LLC, by Bain Capital Credit Member, LLC, its managing member, by /s/ Andrew S. Viens, Executive Vice President | 06/11/2018 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Sankaty Champion Holdings, LLC ("SCH") is the record owner of these shares of Common Stock. |
(2) | Sankaty Credit Opportunities IV, L.P. ("SCO IV") is the record owner of these shares of Common Stock. |
(3) | Bain Capital Credit Member, LLC ("BCCM") is the manager of SCH and, by virtue of its relationship to SCH, may be deemed to indirectly beneficially own (within the meaning of Rule 13d-3 under the Securities Exchange Act of 1934, as amended (the "Act")) the shares of Common Stock of which SCH is the record owner. BCCM disclaims beneficial ownership of the shares of Common Stock of which SCH is the record owner, except to the extent of its pecuniary interest therein. |
(4) | Sankaty Credit Opportunities Investors IV, LLC ("SCOI IV") is the sole general partner of SCO IV and may be deemed to indirectly beneficially own (within the meaning of Rule 13d-3 under the Act) the shares of Common Stock of which SCO IV is the record owner. BCCM is the managing member of SCOI IV and may be deemed to indirectly beneficially own (within the meaning of Rule 13d-3 under the Act) the shares of Common Stock which SCOI IV may be deemed to indirectly beneficially own. Each of BCCM and SCOI IV disclaims beneficial ownership of the shares of which SCO IV is the record owner, except to the extent of their respective pecuniary interest therein. |
(5) | Each of SCO IV and SCOI IV may be deemed to be a member of a "group" (within the meaning of Rule 13d-5 under the Act) whose members in the aggregate beneficially own more than 10% of the outstanding shares of the Issuer's Common Stock. However, each of SCO IV and SCOI IV disclaim membership in any such group. |