SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF 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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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 05/31/2018 | 3. Issuer Name and Ticker or Trading Symbol Perspecta Inc. [ PRSP ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock, par value $0.01 per share | 23,273,341 | I | See Footnote(1)(2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. This Form 3 is filed jointly by Ramzi M. Musallam, The SI Organization Holdings LLC ("The SI LLC"), The Veritas Capital Fund IV, L.P. ("Fund IV") and Veritas Capital Partners IV, L.L.C. ("Fund IV LLC") (collectively, the "Reporting Persons"). The shares of Common Stock, par value $0.01 per share ("Common Stock") of Perspecta Inc. ("Issuer") are directly owned by The SI LLC and KGS Holding LLC ("KGS LLC"). The SI LLC directly owns 18,877,244 shares of Common Stock and KGS LLC directly owns 4,396,097 shares of Common Stock. Fund IV may be deemed a beneficial owner of shares of Common Stock directly owned by The SI LLC, including on the basis of its power to appoint all of the members of the board of managers of The SI LLC. Fund IV LLC may be deemed a beneficial owner of shares of Common Stock directly owned by The SI LLC, including on the basis of Fund IV LLC serving as the general partner of Fund IV. |
2. (Continued from Footnote 1) Ramzi M. Musallam may be deemed a beneficial owner of shares of Common Stock directly owned by The SI LLC, and shares of Common Stock directly owned by KGS LLC, including on the basis of Mr. Musallam serving as the managing partner of Fund IV LLC and as the managing partner of Veritas Capital Partners III, L.L.C., which is the general partner of The Veritas Capital Fund III, L.P., which is the managing member of KGS LLC. Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein except to the extent of his or its pecuniary interest therein. |
Remarks: |
/s/ Ramzi M. Musallam | 06/06/2018 | |
/s/ Ramzi M. Musallam, Authorized Signatory for The Veritas Capital Fund IV, L.P., acting as the Majority of Members of The SI Organization Holdings LLC | 06/06/2018 | |
/s/ Ramzi M. Musallam, Managing Partner of Veritas Capital Partners IV, L.L.C., General Partner of The Veritas Capital Fund IV, L.P. | 06/06/2018 | |
/s/ Ramzi M. Musallam, Managing Partner of Veritas Capital Partners IV, L.L.C. | 06/06/2018 | |
** 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 5 (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. |