Sec Form 4 Filing - BURKE JOHN DANIEL @ ZAIS Group Holdings, Inc. - 2018-05-18

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
BURKE JOHN DANIEL
2. Issuer Name and Ticker or Trading Symbol
ZAIS Group Holdings, Inc. [ ZAIS]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O ZAIS GROUP HOLDINGS INC., TWO BRIDGE AVENUE, SUITE 322
3. Date of Earliest Transaction (MM/DD/YY)
05/18/2018
(Street)
RED BANK, NJ07701-1106
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ 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
Class A Common Stock, par value $.0001 05/18/2018 D( 1 ) 69,652 ( 2 ) D $ 4.1 0 D
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
BURKE JOHN DANIEL
C/O ZAIS GROUP HOLDINGS INC.
TWO BRIDGE AVENUE, SUITE 322
RED BANK, NJ07701-1106
X
Signatures
/s/ Thomas P. Conaghan, as Attorney-in-Fact 05/18/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Disposed of pursuant to the closing of the merger (the "Merger") and other transactions contemplated by that certain Agreement and Plan of Merger, dated as of January 11, 2018 by and among the ZAIS Group Holdings, Inc., ZGH Merger Sub, Inc. and Z Acquisition LLC. Each share of Class A Common Stock held by the reporting person was cancelled in the Merger and converted into the right to receive $4.10 in cash per share, without interest and less any applicable withholding taxes (the "Merger Consideration").
( 2 )Includes 13,488 Restricted Stock Units ("RSUs") that were cancelled in the Merger and converted into the right to receive an amount in cash equal to the Merger Consideration multiplied by the number of shares of Class A Common Stock underlying the RSUs.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(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).

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