Sec Form 4 Filing - Wayzata Investment Partners LLC @ Lazydays Holdings, Inc. - 2021-09-16

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, 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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1. Name and Address of Reporting Person
Wayzata Investment Partners LLC
2. Issuer Name and Ticker or Trading Symbol
Lazydays Holdings, Inc. [ LAZY]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
ONE CARLSON PARKWAY NORTH, SUITE 220
3. Date of Earliest Transaction (MM/DD/YY)
09/16/2021
(Street)
PLYMOUTH, MN55447
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/16/2021 J( 1 ) 1,967,841 D $ 0 93,679 I See footnote ( 2 )
Common Stock 09/16/2021 J( 1 ) 283,438 D $ 0 14,947 I See footnote ( 3 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Wayzata Investment Partners LLC
ONE CARLSON PARKWAY NORTH, SUITE 220
PLYMOUTH, MN55447
X
Halloran Patrick J.
ONE CARLSON PARKWAY NORTH SUITE 220
PLYMOUTH, MN55447
X
WAYZATA OPPORTUNITIES FUND II, L.P.
ONE CARLSON PARKWAY NORTH SUITE 220
PLYMOUTH, MN55447
X
Wayzata Opportunities Fund Offshore II, L.P.
ONE CARLSON PARKWAY NORTH SUITE 220
PLYMOUTH, MN55447
X
Signatures
/s/ Patrick J. Halloran Wayzata Investment Partners LLC, by Patrick J. Halloran, Manager 09/22/2021
Signature of Reporting Person Date
/s/ Patrick J. Halloran 09/22/2021
Signature of Reporting Person Date
/s/ Patrick J. Halloran WAYZATA OPPORTUNITIES FUND II, L.P., by WOF II GP, L.P., its General Partner, by: WOF II GP, LLC, its General Partner, by: Patrick J. Halloran, Authorized Signatory 09/22/2021
Signature of Reporting Person Date
/s/ Patrick J. Halloran WAYZATA OPPORTUNITIES FUND OFFSHORE II, L.P., by Wayzata Offshore GP II, LLC, its General Partner, Patrick J. Halloran, Authorized Signatory 09/22/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )This transaction represents the distribution of shares by the reporting persons pursuant to a pro rata distribution, without consideration, of shares of the Issuer's common stock effected on September 16, 2021 to its general partners and limited partners. The distribution of the shares received in this distribution is exempt pursuant to Rule 16a-9.
( 2 )Wayzata Opportunities Fund II, L.P
( 3 )Wayzata Opportunities Fund Offshore II, L.P.

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