| FORM 4 | 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 or Section 30(h) of the Investment Company Act of 1940 |
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| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol STRYVE FOODS, INC. [ ANDA ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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| 3. Date of Earliest Transaction (Month/Day/Year) 07/20/2021 | ||||||||||||||||||||||||||
| 4. If Amendment, Date of Original Filed (Month/Day/Year) 07/21/2021 | 6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 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 V Common Stock(6) | 07/20/2021 | A | 1,491,314 | A | (2) | 1,491,314 | I | See Footnote(3) | ||
| Class A Common Stock | 07/20/2021 | C | 101,301 | A | (4) | 101,301 | D | |||
| Class A Common Stock | 07/20/2021 | C | 128,306 | A | (4) | 128,306 | I | See Footnote(5) | ||
| Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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| 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 Securities Underlying Derivative Security (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: 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 | ||||||||
| Class B Units(6) | (1) | 07/20/2021 | A | 1,491,314 | (1) | (1) | Class A Common Stock | 1,491,314 | (1) | 1,491,314 | I | See Footnote(3) | |||
| Convertible Bridge Note | (4) | 07/20/2021 | C | 101,301 | (4) | (4) | Class A Common Stock | 101,301 | (4) | 0 | D | ||||
| Convertible Bridge Note | (4) | 07/20/2021 | C | 128,306 | (4) | (4) | Class A Common Stock | 128,306 | (4) | 0 | I | See Footnote(5) | |||
| Explanation of Responses: |
| 1. Subject to the terms of an Exchange Agreement with Stryve Foods, Inc. ("Stryve"), a set of one Class B Unit and one share of Class V Common Stock is exchangeable for one share of Class A Common Stock of Stryve after the expiration of a lock-up applicable to such securities. The Class V Common Stock provides the holder with voting rights, but not economic rights, with respect to Stryve. |
| 2. Securities issued to Stryve Foods Holdings, LLC in connection with a business combination with the Issuer. |
| 3. All shares of Class V Common Stock and Class B Units are beneficially owned as a member of Stryve Foods Holdings, LLC. |
| 4. All principal and interest due under promissory notes (the "Bridge Notes") of Stryve Foods, LLC ( "Stryve") was satisfied through the issuance of shares of Class A Common Stock in connection with the business combination between Stryve Foods, Inc. (formerly known as Andina Acquisition Corp. III) and Stryve. |
| 5. One-half of the securities are owned by the TRC GST TRFBO Trinity Jennifer Wommack Casey BTD 09302011 and the other half are owned by TRC GST TRFBO Avery Maryanna Wommack Casey BTD 09302011. Thomas Farrell Casey is the trustee and control person of, with voting and dispositive power over the securities held by, such trusts. The reporting person disclaims beneficial ownership of the securities owned by the trusts. |
| 6. Amendment solely to correct the number of shares of Class V Common Stock and Class B Units owned. |
| /s/ Ted Casey by John J. Wolfel, Attorney-in-Fact | 07/26/2021 | |
| ** 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. | ||
