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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 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 (Month/Day/Year) |
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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Solus Alternative Asset Management LP 25 MAPLE STREET, 2ND FLOOR SUMMIT, NJ 07901 |
X | |||
Solus GP LLC C/O SOLUS ALTERNATIVE ASSET MANAGEMENT 25 MAPLE STREET, 2ND FLOOR SUMMIT, NJ 07901 |
X | |||
Pucillo Christopher C/O SOLUS ALTERNATIVE ASSET MANAGEMENT 25 MAPLE STREET, 2ND FLOOR SUMMIT, NJ 07901 |
X | X |
Solus Alternative Asset Management LP By: Solus GP LLC, its General Partner By: /s/ Christopher Pucillo Name: Christopher Pucillo Title: Managing Member | 12/23/2021 | |
**Signature of Reporting Person | Date | |
Solus GP LLC By: /s/ Christopher Pucillo Name: Christopher Pucillo Title: Managing Member | 12/23/2021 | |
**Signature of Reporting Person | Date | |
/s/ Christopher Pucillo Christopher Pucillo | 12/23/2021 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The reported transaction reflects a contribution in kind. |
(2) | The shares to which this Form 4 relates are held directly or indirectly by certain funds and accounts (collectively, "Clients") managed by Solus Alternative Asset Management LP ("Solus") and/or affiliates thereof. Solus GP LLC ("Solus GP") is the general partner of Solus. Christopher Pucillo is the managing member of Solus GP. Each may be deemed to have beneficial ownership of the securities reported herein except to the extent of his or its pecuniary interest therein. The Solus Clients expressly disclaim beneficial ownership of any shares of Common Stock. Pursuant to Rule 16a-1(a)(1), the Reporting Persons are not deemed to beneficially own the securities but have elected to file this Form 4 nevertheless. |
(3) | The Reporting Persons are jointly filing this Form 4 pursuant to Rule 16a-3(j) under the Securities Exchange Act of 1934, as amended. |