1. Name and Address of Reporting Person*WYNNEFIELD PARTNERS SMALL CAP VALUE LP |
450 SEVENTH AVENUE | SUITE 509 |
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Jason Industries, Inc. [ JASN ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) | Director | X | 10% Owner | | Officer (give title below) | | Other (specify below) | |
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3. Date of Earliest Transaction (Month/Day/Year) 09/12/2018 |
4. If Amendment, Date of Original Filed (Month/Day/Year)
| 6. Individual or Joint/Group Filing (Check Applicable Line) | Form filed by One Reporting Person | X | Form filed by More than One Reporting Person |
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1. Name and Address of Reporting Person*WYNNEFIELD PARTNERS SMALL CAP VALUE LP |
450 SEVENTH AVENUE | SUITE 509 |
(Street)
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1. Name and Address of Reporting Person*WYNNEFIELD PARTNERS SMALL CAP VALUE LP I |
450 SEVENTH AVENUE | SUITE 509 |
(Street)
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1. Name and Address of Reporting Person*WYNNEFIELD SMALL CAP VALUE OFFSHORE FUND LTD |
450 SEVENTH AVENUE | SUITE 509 |
(Street)
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1. Name and Address of Reporting Person*WYNNEFIELD CAPITAL MANAGEMENT LLC |
450 SEVENTH AVENUE | SUITE 509 |
(Street)
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1. Name and Address of Reporting Person*
450 SEVENTH AVENUE | SUITE 509 |
(Street)
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1. Name and Address of Reporting Person*Wynnefield Capital, Inc. Profit Sharing Plan |
450 SEVENTH AVENUE | SUITE 509 |
(Street)
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1. Name and Address of Reporting Person*
450 SEVENTH AVENUE | SUITE 509 |
(Street)
|
1. Name and Address of Reporting Person*
450 SEVENTH AVENUE | SUITE 509 |
(Street)
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| WYNNEFIELD PARTNERS SMALL CAP VALUE, L.P., By: Wynnefield Capital Management, LLC, General Partner, By: /s/ Nelson Obus, Managing Member | 09/14/2018 |
| WYNNEFIELD PARTNERS SMALL CAP VALUE, L.P. I, By: Wynnefield Capital Management, LLC, General Partner, By: /s/ Nelson Obus, Managing Member | 09/14/2018 |
| WYNNEFIELD SMALL CAP VALUE OFFSHORE FUND, LTD., By: Wynnefield Capital, Inc., By: /s/ Nelson Obus, President | 09/14/2018 |
| WYNNEFIELD CAPITAL, INC. PROFIT SHARING PLAN, By: /s/ Nelson Obus, Co-Trustee | 09/14/2018 |
| WYNNEFIELD CAPITAL MANAGEMENT, LLC, By: /s/ Nelson Obus, Managing Member | 09/14/2018 |
| WYNNEFIELD CAPITAL, INC., By: /s/ Nelson Obus, President | 09/14/2018 |
| /s/ Nelson Obus, individually | 09/14/2018 |
| /s/ Joshua Landes, individually | 09/14/2018 |
| ** Signature of Reporting Person | Date |
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). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
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 Number. |