Statement of Changes in Beneficial Ownership (4)
March 21 2017 - 5:02PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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
*
Venkataraman Sriram
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2. Issuer Name
and
Ticker or Trading Symbol
Lantheus Holdings, Inc.
[
LNTH
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
C/O AVISTA CAPITAL HOLDINGS, L.P., 65 E. 55TH STREET, 18TH FLOOR
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3. Date of Earliest Transaction
(MM/DD/YYYY)
3/17/2017
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(Street)
NEW YORK, NY 10022
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. 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
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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3/17/2017
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S
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1709278
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D
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$12.20
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7004395
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I
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See footnote
(1)
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Common Stock
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3/17/2017
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S
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450722
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D
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$12.20
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1846996
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I
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See footnote
(2)
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Common Stock
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3/17/2017
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S
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840000
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D
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$12.20
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3442208
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I
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See footnote
(3)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. 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
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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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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Represents shares of the Issuer held by Avista Capital Partners, L.P. ("ACP"). Avista Capital Partners GP, LLC ("ACP GP") is the general partner of ACP. Mr. Venkataraman is a member of the investment committee of ACP GP. By virtue of these relationships, Mr. Venkataraman may be deemed to share voting and dispositive power with respect to the shares of common stock held by ACP. Mr. Venkataraman expressly disclaims beneficial ownership of any such securities, except to the extent of his pecuniary interest therein.
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(
2)
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Represents shares of the Issuer held by Avista Capital Partners (Offshore), L.P. ("ACP Offshore"). ACP GP is the general partner of ACP Offshore. Mr. Venkataraman is a member of the investment committee of ACP GP. By virtue of these relationships, Mr. Venkataraman may be deemed to share voting and dispositive power with respect to the shares of common stock held by ACP Offshore. Mr. Venkataraman expressly disclaims beneficial ownership of any such securities, except to the extent of his pecuniary interest therein.
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(
3)
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Represents shares of the Issuer held by ACP-Lantern Co-Invest, LLC ("ACP Co-Invest"). ACP GP is the manager of ACP Co-Invest. Mr. Venkataraman is a member of the investment committee of ACP GP. By virtue of these relationships, Mr. Venkataraman may be deemed to share voting and dispositive power with respect to the shares of common stock held by ACP Co-Invest. Mr. Venkataraman expressly disclaims beneficial ownership of any such securities, except to the extent of his pecuniary interest therein.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Venkataraman Sriram
C/O AVISTA CAPITAL HOLDINGS, L.P.
65 E. 55TH STREET, 18TH FLOOR
NEW YORK, NY 10022
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X
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X
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Signatures
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By: /s/ Sriram Venkataraman
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3/17/2017
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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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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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.
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